Individual
MS. EMILY HACKENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16 E 16TH ST, NEW YORK, NY 10003-3105
(212) 206-5200
(212) 206-5279
Mailing address
279 MAIN ST, SUITE 204, NEW PALTZ, NY 12561-1623
(845) 255-3046
(845) 255-0236
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F33459-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F334591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03030848
—
NY
05
—
4343
—
NY
Enumeration date
03/20/2007
Last updated
03/17/2018
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