Provider Demographics
NPI:1164319604
Name:EMPTY ORCHESTRA LLC
Entity type:Organization
Organization Name:EMPTY ORCHESTRA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VENESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-206-3428
Mailing Address - Street 1:265 HACKENSACK ST UNIT 1412
Mailing Address - Street 2:
Mailing Address - City:WOOD RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07075-1253
Mailing Address - Country:US
Mailing Address - Phone:551-206-3428
Mailing Address - Fax:
Practice Address - Street 1:219 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-3624
Practice Address - Country:US
Practice Address - Phone:551-206-3428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine