Organization
MICHAEL K EMANUEL DDS SHIRLEY LEW DMD PC
Active
Organization
MICHAEL K EMANUEL DDS SHIRLEY LEW DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K EMANUEL DDS (ORTHODONTIST PRESIDENT OF PROFESSIO)
(718) 336-5005
Entity
Organization
Contact information
Practice address
2053 EAST 16 STREET, BROOKLYN, NY 11229
(718) 336-5005
(718) 336-8679
Mailing address
2053 EAST 16 STREET, BROOKLYN, NY 11229
(718) 336-5005
(718) 336-8679
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01779620
—
NY
Enumeration date
05/13/2008
Last updated
05/13/2008
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