Healthcare Provider Details

I. General information

NPI: 1558273565
Provider Name (Legal Business Name): EMILY NEAVE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PINE ST APT 910
NEW YORK NY
10005-1409
US

IV. Provider business mailing address

20 PINE ST APT 910
NEW YORK NY
10005-1409
US

V. Phone/Fax

Practice location:
  • Phone: 203-731-9623
  • Fax:
Mailing address:
  • Phone: 203-731-9623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number360929
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: