Healthcare Provider Details

I. General information

NPI: 1386528362
Provider Name (Legal Business Name): EMERALD NP IN FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 KIRBY PL
MIDDLETOWN NY
10940-6664
US

IV. Provider business mailing address

1045 KIRBY PL
MIDDLETOWN NY
10940-6664
US

V. Phone/Fax

Practice location:
  • Phone: 631-357-4325
  • Fax:
Mailing address:
  • Phone: 631-357-4325
  • Fax: 251-235-8233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. GAELLE HUBERT MORRIS
Title or Position: OWNER
Credential: NP
Phone: 631-357-4325