Provider Demographics
NPI:1386760528
Name:COUNTY OF ROCKLAND
Entity type:Organization
Organization Name:COUNTY OF ROCKLAND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACTING COMMISSIONER OF HOSPITALS
Authorized Official - Prefix:MR
Authorized Official - First Name:H
Authorized Official - Middle Name:CHRIS
Authorized Official - Last Name:KOPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-364-2715
Mailing Address - Street 1:50 SANITORIUM RD
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3555
Mailing Address - Country:US
Mailing Address - Phone:845-364-2721
Mailing Address - Fax:
Practice Address - Street 1:50 SANITORIUM RD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3555
Practice Address - Country:US
Practice Address - Phone:845-364-2721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W78931Medicare ID - Type UnspecifiedMEDICARE PROVIDER #