Organization
EPPS THERAPEUTIC PARTNERS CO.
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH JAMES EPPS LCSW-R, BCD (CEO)
(631) 435-0421
Entity
Organization
Contact information
Practice address
149 EVERGREEN AVE, BRENTWOOD, NY 11717-4100
(631) 435-0421
(631) 435-0421
Mailing address
149 EVERGREEN AVE, BRENTWOOD, NY 11717-4100
(631) 435-0421
(631) 435-0421
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
R033117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N6J791
MEDICARE PROVIDER NUMBER
NY
Enumeration date
03/05/2012
Last updated
03/05/2012
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