# NEW YORK EPILEPSY MEDICINE, PC

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

## Provider details

- **NPI number:** 1417344987
- **Authorized official:** DR. JESS DAVID COLLINS MD (PRESIDENT)
- **Authorized official phone:** (518) 258-4033

## Contact information

- **Practice address:** 3 LEAR JET LN STE 203, LATHAM, NY 12110
- **Practice address phone:** (518) 258-4033
- **Practice address fax:** (866) 581-2012
- **Mailing address:** 3 LEAR JET LN STE 203, LATHAM, NY 12110-2322
- **Mailing address phone:** (518) 258-4033
- **Mailing address fax:** (866) 581-2012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA10413300 | NJ | — |
| 261QM2500X | Medical Specialty Clinic/Center | 260870 | NY | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | MD463651 | PA | — |

## Other

- **Enumeration date:** 04/22/2015
- **Last updated:** 08/01/2018