Healthcare Provider Details

I. General information

NPI: 1679554554
Provider Name (Legal Business Name): EMILY STRAUS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY STRAUS MD

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 12/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQ E BETH ISRAEL MED CTR DEPT OF PEDIATRICS
NEW YORK NY
10003-3314
US

IV. Provider business mailing address

PO BOX 95000-2436
PHILADELPHIA PA
19195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 212-844-8312
  • Fax:
Mailing address:
  • Phone: 212-844-8312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2047711
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: