Individual
EMMA WALTHALL-MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COURTLANDT AVENUE, BRONX, NY 10451
(718) 402-2311
Mailing address
25 ADAMS PL, WHITE PLAINS, NY 10603-2901
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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