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NPI Code Detail

MEDICARE: EMILY M LAWYER

MEDICARE: EMILY M LAWYER
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1417555947
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY M LAWYER
Provider Business Mailing Address
First Line : 52 CORPORATE CIR
Second Line :
City : ALBANY
State : NY
Zip : 12203-5176
Country : US
Telephone Number : 518-456-4466
Fax Number : 518-456-4536
Provider Business Practice Location Address
First Line : 52 CORPORATE CIR
Second Line :
City : ALBANY
State : NY
Zip : 12203-5176
Country : US
Telephone Number : 518-456-4466
Fax Number : 518-456-4536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2020
Last Update Date : 10/16/2020

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Directions to “ EMILY M LAWYER ” Practice Location

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