MEDICARE: HANNAH EMALFARB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	062817	NY

General Provider Information

NPI Number	:	1659948040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH EMALFARB

Provider Business Mailing Address
First Line	:	1751 2ND AVE APT 7A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-5376
Country	:	US
Telephone Number	:	312-810-3625
Fax Number	:

Provider Business Practice Location Address
First Line	:	4305 13TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-1337
Country	:	US
Telephone Number	:	312-810-3625
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2021
Last Update Date	:	02/22/2024

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Directions to “ HANNAH EMALFARB ” Practice Location

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