Healthcare Provider Details

I. General information

NPI: 1821914037
Provider Name (Legal Business Name): EMMA ROSE NAVARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80-09 WINCHESTER BLVD
QUEENS VILLAGE NY
11427
US

IV. Provider business mailing address

540 MAIN ST APT 1024
NEW YORK NY
10044-0118
US

V. Phone/Fax

Practice location:
  • Phone: 718-740-4300
  • Fax:
Mailing address:
  • Phone: 973-699-6328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number131619
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: