Provider Demographics
NPI:1306669650
Name:PINKHAS, EMANUELLA (MSED)
Entity type:Individual
Prefix:MS
First Name:EMANUELLA
Middle Name:
Last Name:PINKHAS
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 WESTERVELT PL
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1208
Mailing Address - Country:US
Mailing Address - Phone:347-455-3394
Mailing Address - Fax:
Practice Address - Street 1:1280 WESTERVELT PL
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1208
Practice Address - Country:US
Practice Address - Phone:347-455-3394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist