Organization
EAST END PLASTIC, RECONSTRUCTIVE & HAND SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY ANN EMANUELE M.D. (PHYSICIAN)
(631) 369-0490
Entity
Organization
Contact information
Practice address
1267 E MAIN ST, RIVERHEAD, NY 11901-2673
(631) 369-0490
(631) 369-6421
Mailing address
1267 E MAIN ST, RIVERHEAD, NY 11901-2673
(631) 369-0490
(631) 369-6421
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
206403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206403-8
WORKERS COMP ID #
NY
01
—
2127965
VYTRA INS. PROVIDER ID #
NY
01
—
2364740
UNITED HEALTHCARE INS. #
NY
01
—
AA72815
MDNY INSURANCE PROVIDER #
NY
01
—
P831475
OXFORD INS. PROVIDER ID #
NY
Enumeration date
07/17/2006
Last updated
08/22/2020
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