Individual
EMILY MARMOLEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MST
Contact information
Practice address
535 8TH AVE, SECOND FLOOR, NEW YORK, NY 10018-4305
(212) 787-9700
Mailing address
535 8TH AVE, FLOOR 2, NEW YORK, NY 10018-4305
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
583750051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
583750051
TEACHER CERTIFICATION NUMBER
NY
Enumeration date
06/25/2012
Last updated
06/25/2012
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