Individual
EMMELINE LESCOUFLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4061
Mailing address
5895 WIND CAVE LN, JACKSONVILLE, FL 32258-5187
(904) 234-9399
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
P02964
NY
2084P0800X
Psychiatry Physician
Primary
P02964
NY
2084P0804X
Child & Adolescent Psychiatry Physician
P02964
NY
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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