Individual
EMMANUELA MADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6800 JERICHO TPKE, SYOSSET, NY 11791-4436
(516) 393-5966
Mailing address
6800 JERICHO TPKE, SYOSSET, NY 11791-4436
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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