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Organization
SOMATUS EMPIRE STATE IPA, LLC
Active
Organization
SOMATUS EMPIRE STATE IPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA J PALMER (AUTHORIZED OFFICIAL)
(202) 236-7061
Entity
Organization
Contact information
Practice address
80 ORVILLE DR STE 100, BOHEMIA, NY 11716-2505
(571) 992-0600
Mailing address
1861 INTERNATIONAL DR STE 600, MC LEAN, VA 22102-4420
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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