Healthcare Provider Details

I. General information

NPI: 1467959734
Provider Name (Legal Business Name): EMILY MICHELLE PFLUG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6740 4TH AVE
BROOKLYN NY
11220-5350
US

IV. Provider business mailing address

6740 4TH AVE FL 4
BROOKLYN NY
11220-5350
US

V. Phone/Fax

Practice location:
  • Phone: 929-455-2000
  • Fax:
Mailing address:
  • Phone: 955-455-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0070446
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number329200
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number329200
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: