Organization
EMERSON MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALYA CHALIK MD (VP)
(718) 448-3800
Entity
Organization
Contact information
Practice address
11 RALPH PLACE, SUITE 305, STATEN ISLAND, NY 10304
(718) 448-3800
(718) 448-2003
Mailing address
11 RALPH PLACE, SUITE 305, STATEN ISLAND, NY 10304
(718) 448-3800
(718) 448-2003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
229483
NY
207R00000X
Internal Medicine Physician
25MA07633200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02530716
—
NY
01
—
P2995181
OXFORD
—
Enumeration date
04/26/2007
Last updated
02/25/2014
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