| Empire State Healthcare Services Llc | |
|
20 Webster Pl East Orange NJ 07018-1706 | |
| (862) 272-6244 | |
| Not Available |
| Full Name | Empire State Healthcare Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 20 Webster Pl, East Orange, New Jersey |
| Authorized Official Name and Position | Jamilla Campo (OWNER) |
| Authorized Official Contact | 8622726244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empire State Healthcare Services Llc 20 Webster Pl East Orange NJ 07018-1706 Ph: (862) 272-6244 | Empire State Healthcare Services Llc 20 Webster Pl East Orange NJ 07018-1706 Ph: (862) 272-6244 |
| NPI Number | 1952151912 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952151912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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