Healthcare Provider Details

I. General information

NPI: 1558964544
Provider Name (Legal Business Name): EMILY NERZIG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E STEVENS AVE STE 108
VALHALLA NY
10595-1202
US

IV. Provider business mailing address

370 VIOLET AVE
POUGHKEEPSIE NY
12601-1034
US

V. Phone/Fax

Practice location:
  • Phone: 845-471-1807
  • Fax:
Mailing address:
  • Phone: 845-471-1807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: