Individual
EMILY AVIS REDWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2702 BROADWAY, NEW YORK, NY 10025-8701
(877) 426-5637
Mailing address
21 W 86TH ST APT 14E, NEW YORK, NY 10024-3668
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
302408-01
NY
Other
Enumeration date
03/21/2017
Last updated
08/18/2020
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