Individual
DR. REZA EMAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4100
Mailing address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
194489
NY
207P00000X
Emergency Medicine Physician
MA077344
NJ
207P00000X
Emergency Medicine Physician
MD426464
PA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
194489
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049778
—
NJ
05
—
101960050 0006
—
PA
01
—
MA077344
MEDICAL LICENSE
NJ
Enumeration date
07/05/2006
Last updated
06/11/2019
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