Provider Demographics
NPI:1427885326
Name:ST. JOSEPH'S MEDICAL CENTER
Entity type:Organization
Organization Name:ST. JOSEPH'S MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:STROHMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-653-2930
Mailing Address - Street 1:147 VALLEY FORGE PL
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-2718
Mailing Address - Country:US
Mailing Address - Phone:845-653-2930
Mailing Address - Fax:
Practice Address - Street 1:147 VALLEY FORGE PL
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-2718
Practice Address - Country:US
Practice Address - Phone:845-653-2930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)