Individual
MS. EMMA JUSTINE POULSHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 E 55TH ST FL 14, NEW YORK, NY 10022-4585
(212) 283-3000
Mailing address
4170 CITY AVE, PHILADELPHIA, PA 19131-1610
(215) 871-6772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030944
NY
Other
Enumeration date
02/27/2023
Last updated
10/17/2025
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