# ENSAGE VIRTUAL MEDICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1639876600
- **Authorized official:** JEFFREY TODD HECKMAN MD (PC OWNER)
- **Authorized official phone:** (206) 716-5719

## Contact information

- **Practice address:** 220 5TH AVE, NEW YORK, NY 10001-7708
- **Practice address phone:** (206) 716-5719
- **Mailing address:** 220 5TH AVE, NEW YORK, NY 10001-7708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | Yes |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2023
- **Last updated:** 02/10/2023