Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 206403 | NY |
NPI | 1457324568 |
---|---|
Provider Name | Dr. Judy Ann Emanuele |
First Address | Riverhead, NY 11901-2673 |
Second Address | Riverhead, NY 11901-2673 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
206403-8 | WORKER'S COMPENSATION (01) | NY |
2127965 | VYTRA (01) | NY |
2364740 | UNITED HEALTHCARE (01) | NY |
AA72815 | MDNY (01) | NY |
F53314 | (02) | NY |
P831475 | OXFORD (01) | NY |