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Organization
EMPASS MEDICAL SERVICES, P.A.
Active
Organization
EMPASS MEDICAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHONNIUSS CHEMWENO (AUTHORIZED OFFICER)
(212) 261-6542
Entity
Organization
Contact information
Practice address
609 GREENWICH ST FL 5, NEW YORK, NY 10014-3610
(212) 261-6542
Mailing address
609 GREENWICH ST FL 5, NEW YORK, NY 10014-3610
(212) 261-6542
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QC1800X
Corporate Health Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1000X
Migrant Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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