Individual
MRS. KOCHUTHRESIA EMMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 359-1000
Mailing address
7 CLAY ST, NEW CITY, NY 10956-7011
(845) 893-0683
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
617089
NY
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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