Provider Demographics
NPI:1235514019
Name:ORANGE COUNSELING ASSOCIATES
Entity type:Organization
Organization Name:ORANGE COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGULNICK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:845-565-5072
Mailing Address - Street 1:410 GIDNEY AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3763
Mailing Address - Country:US
Mailing Address - Phone:845-565-5072
Mailing Address - Fax:
Practice Address - Street 1:410 GIDNEY AVE
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3763
Practice Address - Country:US
Practice Address - Phone:845-565-5072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6711251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV29181Medicare UPIN