# EMPASS MEDICAL SERVICES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114603255
- **Authorized official:** MR. JOHONNIUSS CHEMWENO (AUTHORIZED OFFICER)
- **Authorized official phone:** (212) 261-6542

## Contact information

- **Practice address:** 609 GREENWICH ST FL 5, NEW YORK, NY 10014-3610
- **Practice address phone:** (212) 261-6542
- **Mailing address:** 609 GREENWICH ST FL 5, NEW YORK, NY 10014-3610
- **Mailing address phone:** (212) 261-6542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 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