MEDICARE: EMPIRE PSYCHIATRIC SERVICES,P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TC0700X	Clinical Psychologist
2	1041C0700X	Clinical Social Worker
3	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1629129721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPIRE PSYCHIATRIC SERVICES,P.C.

Provider Business Mailing Address
First Line	:	2327 83RD ST
Second Line	:	SUITE D
City	:	BROOKLYN
State	:	NY
Zip	:	11214-2750
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2502 86TH ST FL 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4440
Country	:	US
Telephone Number	:	718-236-0700
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. LEONID VOROBYEV
Credential	:	M.D.
Telephone Number	:	718-236-0700

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	06/25/2024

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