Individual
EMILY BROOKE DEFRAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
530 1ST AVE STE 7D, NEW YORK, NY 10016-6402
(212) 263-7419
Mailing address
530 1ST AVE STE 7D, NEW YORK, NY 10016-6402
(212) 263-7419
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
AL4088604
NY
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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