Organization
EMERALD MULTISPECIALTY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON FENSTERSZAUB (OWNER)
(718) 964-6161
Entity
Organization
Contact information
Practice address
200 WYANT RD, AKRON, OH 44313-4228
(212) 734-6621
(516) 430-5031
Mailing address
393 BROADWAY, BROOKLYN, NY 11211-7303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/07/2023
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