Doctor Name: | COURTNEY EMERSON |
NPI Number: | 1043561251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 015970 |
Business Practice Address: | 3680 Hill Blvd Mount Kisco Medical Group Pc Jefferson Valley, NY - 10535 |
Business Phone Number: | 9149626222 |
Business Fax Number: | 9142430176 |
Mailing Address: | 110 S. Bedford Road, Mount Kisco Medical Group Pc MOUNT KISCO |
State: | NY |
Postal Code: | 10549 |
Phone Number: | 9142411050 |
Fax Number: | 9142421516 |
NPI Enumeration Date: | 09/27/2012 |
NPI Last Update Date: | 02/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 015970 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |