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Organization
NEW YORK EPILEPSY MEDICINE, PC
Active
Organization
NEW YORK EPILEPSY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESS DAVID COLLINS MD (PRESIDENT)
(518) 258-4033
Entity
Organization
Contact information
Practice address
3 LEAR JET LN STE 203, LATHAM, NY 12110
(518) 258-4033
(866) 581-2012
Mailing address
3 LEAR JET LN STE 203, LATHAM, NY 12110-2322
(518) 258-4033
(866) 581-2012
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
25MA10413300
NJ
261QM2500X
Medical Specialty Clinic/Center
Primary
260870
NY
261QM2500X
Medical Specialty Clinic/Center
MD463651
PA
Other
Enumeration date
04/22/2015
Last updated
08/01/2018
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