Individual
EMMA LAURETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3415 BAINBRIDGE AVENUE AT GUNHILL ROAD, BRONX, NY 10467
(718) 920-4378
Mailing address
6751 182ND ST, FRESH MEADOWS, NY 11365-3505
(718) 969-3001
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
246578
NY
2084N0600X
Clinical Neurophysiology Physician
246578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02118376
—
NY
Enumeration date
09/26/2006
Last updated
03/10/2008
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