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NPI Code Detail

MEDICARE: EMMA LADD

MEDICARE: EMMA LADD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1043142185
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA LADD
Provider Business Mailing Address
First Line : 622 KING ST
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-4437
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 177 FORT WASHINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10032-3733
Country : US
Telephone Number : 212-305-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ EMMA LADD ” Practice Location

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