Individual
MS. EMILY RUTH YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
205 E 76TH ST, SUITE M2, NEW YORK, NY 10021-2147
(212) 472-4802
Mailing address
205 E 76TH ST, SUITE M2, NEW YORK, NY 10021-2147
(212) 472-4802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
337680
NY
Other
Enumeration date
11/22/2012
Last updated
11/22/2012
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