Healthcare Provider Details

I. General information

NPI: 1013809227
Provider Name (Legal Business Name): EMMA A MOLONEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 DEHAVEN DR APT 324
YONKERS NY
10703-1283
US

IV. Provider business mailing address

350 ENGLE ST
ENGLEWOOD NJ
07631-1808
US

V. Phone/Fax

Practice location:
  • Phone: 845-774-9599
  • Fax:
Mailing address:
  • Phone: 845-774-9599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number779032
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number160579
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: