Individual
EMILY M MASNICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
233 W 134TH ST APT 1A, NEW YORK, NY 10030-3027
(610) 360-4025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
715928
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403485
NY
Other
Enumeration date
11/12/2019
Last updated
09/16/2021
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