Provider Demographics
NPI:1245862804
Name:EMPIRE NP PSYCHIATRIC CARE, PLLC
Entity type:Organization
Organization Name:EMPIRE NP PSYCHIATRIC CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRY NP
Authorized Official - Prefix:
Authorized Official - First Name:ELMER JONES
Authorized Official - Middle Name:TADENA
Authorized Official - Last Name:ELMA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:518-334-1594
Mailing Address - Street 1:22 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-4972
Mailing Address - Country:US
Mailing Address - Phone:518-334-1594
Mailing Address - Fax:518-783-1964
Practice Address - Street 1:22 NOTTINGHAM WAY
Practice Address - Street 2:
Practice Address - City:COHOES
Practice Address - State:NY
Practice Address - Zip Code:12047-4972
Practice Address - Country:US
Practice Address - Phone:518-334-1594
Practice Address - Fax:518-783-1964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty