| Eprine Community Services Inc. | |
|
1450 Barnum Ave Ste 202 Bridgeport CT 06610-3272 | |
| (718) 255-5946 | |
| Not Available |
| Full Name | Eprine Community Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1450 Barnum Ave Ste 202, Bridgeport, Connecticut |
| Authorized Official Name and Position | Luis Mota (CEO) |
| Authorized Official Contact | 7182555946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eprine Community Services Inc. 1650 Eastern Pkwy Ste 400-403 Brooklyn NY 11233-4804 Ph: (718) 255-5946 | Eprine Community Services Inc. 1450 Barnum Ave Ste 202 Bridgeport CT 06610-3272 Ph: (718) 255-5946 |
| NPI Number | 1063038685 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 06/19/2020 |
| Certification Date | 06/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063038685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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