MEDICARE: DR. EMILY BLY PHD

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
1	103TC0700X	Clinical Psychologist	019170	NY

General Provider Information

NPI Number	:	1558659037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY BLY PHD

Provider Business Mailing Address
First Line	:	400-410 KING ST
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-3500
Country	:	US
Telephone Number	:	347-560-4628
Fax Number	:	914-873-1106

Provider Business Practice Location Address
First Line	:	400 KING ST STE 7
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-3500
Country	:	US
Telephone Number	:	347-560-4628
Fax Number	:	914-873-1106

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2011
Last Update Date	:	02/28/2023

Similar Medicare Providers

1417134198 — ERIKA N MARSHALL MD
Practice Location Address:

400 KING ST STE 7
CHAPPAQUA, NY
10514-3500

Practice Phone: 914-864-0966
Practice Fax: 949-867-3638

1194469569 — KAITLIN CARSON
Practice Location Address:

400 KING ST STE 7
CHAPPAQUA, NY
10514-3500

Practice Phone: 347-560-4628
Practice Fax:

1326218918 — MS. STEFANIE ROBIN SCHWARTZ MS, RD, CDN
Practice Location Address:

400 KING ST
CHAPPAQUA, NY
10514-3500

Practice Phone: 914-238-6415
Practice Fax: 914-238-6415

1003295494 — DR. HEATHER RACHEL ROSEN PHD
Practice Location Address:

400 KING ST STE 7
CHAPPAQUA, NY
10514-3500

Practice Phone: 347-560-4628
Practice Fax:

1013737790 — NOFAR ARASTEHMANESH PSYD
Practice Location Address:

400 KING ST STE 7
CHAPPAQUA, NY
10514-3500

Practice Phone: 347-560-4628
Practice Fax:

1376813303 — DOROTHY NOLAN-SHAW
Practice Location Address:

110 RIDGEWOOD TER
CHAPPAQUA, NY
10514-3520

Practice Phone: 914-658-9120
Practice Fax:

Directions to “ DR. EMILY BLY PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.