Basic Information
| Provider Information | |||||||||
| NPI: | 1578654000 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROCKLAND PSYCHIATRIC CENTER | ||||||||
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| OtherOrganizationName: | NYS OFFICE OF MENTAL HEALTH | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 140 OLD ORANGEBURG ROAD | ||||||||
| Address2: | ROCKLAND PSYCHIATRIC CENTER | ||||||||
| City: | ORANGEBURG | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10962 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8453591000 | ||||||||
| FaxNumber: | 8456805516 | ||||||||
| Practice Location | |||||||||
| Address1: | 18 CHURCH STREET | ||||||||
| Address2: | NYACK CONSULTATION CENTER | ||||||||
| City: | NYACK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10960 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8453581677 | ||||||||
| FaxNumber: | 8453583640 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2006 | ||||||||
| LastUpdateDate: | 07/14/2008 | ||||||||
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| AuthorizedOfficialLastName: | BOTROS | ||||||||
| AuthorizedOfficialFirstName: | LAMIA | ||||||||
| AuthorizedOfficialMiddleName: | KARMAL | ||||||||
| AuthorizedOfficialTitleorPosition: | PSYCHIATRIST | ||||||||
| AuthorizedOfficialTelephone: | 8453581677 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | NYS OFFICE OF MENTAL HEALTH | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283Q00000X | NY214224 | NY | N | Hospitals | Psychiatric Hospital | 283Q00000X | 214224 | NY | Y | Hospitals | Psychiatric Hospital |
No ID Information.