Most Relevant Information
Provider Data
| NPI Number: | 1003368077 |
| Provider Name: | EMMANUELA JEAN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 7118691 |
Most Important Dates
| Enumeration Date: | 10/26/2016 |
| Last Updated: | 10/26/2016 |
Provider Practice Location
508 AIRPORT EXECUTIVE BOULEVARD
NANUET
NY
10958
Practice Location Phone/Fax
| Phone: | 8454252655 |
| Fax: |
Provider Mailing Location
315 PLYMOUTH ST
DIX HILLS
NY
117467018
Provider Mailing Phone/Fax
| Phone: | 6312788497 |
| Fax: |