Individual
EMILY KUSHNEROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 BASSETT RD, NORTH HAVEN, CT 06473-4201
(203) 582-7766
Mailing address
27 MCCAFFREY LN, BOONTON TOWNSHIP, NJ 07005-8807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00892500
NJ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/11/2024
Last updated
08/26/2025
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