Provider Demographics
NPI:1023819646
Name:EMPOWERED MULTI SERVICE PC LLC
Entity type:Organization
Organization Name:EMPOWERED MULTI SERVICE PC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARIUS
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:914-343-9670
Mailing Address - Street 1:15 MADISON ST APT G4
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-2921
Mailing Address - Country:US
Mailing Address - Phone:914-436-6704
Mailing Address - Fax:
Practice Address - Street 1:15 MADISON ST APT G4
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-2921
Practice Address - Country:US
Practice Address - Phone:914-436-6704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty