Individual
EMILY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3098
(716) 898-3108
(716) 898-3108
Mailing address
3836 HIGHLAND AVE, SKANEATELES, NY 13152-9355
(315) 569-4972
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402518
NY
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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