Healthcare Provider Details

I. General information

NPI: 1043669005
Provider Name (Legal Business Name): EMILY GARLING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 06/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4802 10TH AVE
BROOKLYN NY
11219-2916
US

IV. Provider business mailing address

77 EASTERN PKWY APT 3E
BROOKLYN NY
11238-5939
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-7206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number052863
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number052863
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: