OrganizationProfessional Obs-Gyn Of Orange Co LlpSpecialistOther Service ProvidersPractice Address75 Crystal Run Rd, Suite 202, Middletown, NY 10941-7000(845) 703-5000PECOS EnrollmentBased on the most recent information from CMS, provider Professional Obs-Gyn Of Orange Co Llp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1568550572Provider TypeOrganizationFull NameProfessional Obs-Gyn Of Orange Co LlpSubpartNoEnumeration Date10/11/2006Last Updated7/21/2022Contact InformationPractice LocationPractice Address75 Crystal Run Rd, Suite 202, Middletown, NY 10941-7000Phone(845) 703-5000Fax(845) 703-5010Mailing LocationMailing Address75 Crystal Run Rd, Suite 202, Middletown, NY 10941-7000Phone(845) 703-5000Fax(845) 703-5010Authorized OfficialNameAnderson, Ralph George (Head Doctor)Phone(845) 703-5000Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted IssuerNew YorkProvider IdentifiersIDDescriptionIssuerID02431294DescriptionMedicaidIssuerUnlistedNew York