Individual
EMMA LAUREN FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 E 33RD ST APT 28G, NEW YORK, NY 10016-4832
(248) 880-7777
Mailing address
200 E 33RD ST APT 28G, NEW YORK, NY 10016-4832
(248) 880-7777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030143
NY
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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