Individual
MISS EMILY STEWART SPECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
310 E 44TH ST APT 1403, NEW YORK, NY 10017-4436
(610) 476-3430
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
023320-1
NY
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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