Individual
DR. EMAJONITE ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
51 RUTGERS ST, IRVINGTON, NJ 07111-2922
(862) 276-7388
Mailing address
51 RUTGERS ST, IRVINGTON, NJ 07111-2922
(862) 276-7388
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
171W00000X
Contractor
—
—
222Q00000X
Developmental Therapist
—
—
225800000X
Recreation Therapist
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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