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Individual

EMILY KATHARINE ILOWIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
319 S MANNING BLVD STE 106, ALBANY, NY 12208-1743
(518) 438-1019
(518) 438-0981
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338896
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04059601
NY
01
150428000000
FIDELIS
NY
Enumeration date
02/03/2015
Last updated
07/03/2024
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