Most Relevant Information
Provider Data
NPI Number: | 1003299728 |
Provider Name: | EMMA RYAN NUTTER |
Entity Type: | Individual |
Taxonomy Code: | 104100000X |
Specialty: | Social Worker |
License Number: | 959202475 |
Most Important Dates
Enumeration Date: | 06/30/2015 |
Last Updated: | 06/30/2015 |
Provider Practice Location
34 W 139TH ST
NEW YORK
NY
100371508
Practice Location Phone/Fax
Phone: | 9172887617 |
Fax: |
Provider Mailing Location
34 W 139TH ST
NEW YORK
NY
100371508
Provider Mailing Phone/Fax
Phone: | 9172887617 |
Fax: |