Basic Information
| Provider Information | |||||||||
| NPI: | 1265456412 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ORLANDO | ||||||||
| FirstName: | GREG | ||||||||
| MiddleName: | STEVEN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4401 MIDDLE SETTLEMENT RD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | NEW HARTFORD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 134135331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157354496 | ||||||||
| FaxNumber: | 3157357066 | ||||||||
| Practice Location | |||||||||
| Address1: | 4401 MIDDLE SETTLEMENT RD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | NEW HARTFORD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 134135331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157354496 | ||||||||
| FaxNumber: | 3157357066 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2006 | ||||||||
| LastUpdateDate: | 04/05/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208200000X | 199751 | NY | N | Allopathic & Osteopathic Physicians | Plastic Surgery | 2082S0105X | 199751 | NY | Y | Allopathic & Osteopathic Physicians | Plastic Surgery | Surgery of the Hand |
ID Information
| ID | Type | State | Issuer | Description | 01890564 | 05 | NY | MEDICAID |