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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