Provider Demographics
NPI:1326377268
Name:HYMAN, EMIE ROSE (DPT)
Entity type:Individual
Prefix:MS
First Name:EMIE
Middle Name:ROSE
Last Name:HYMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 W 58TH ST APT 17F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1843
Mailing Address - Country:US
Mailing Address - Phone:917-446-8892
Mailing Address - Fax:
Practice Address - Street 1:65 W 106TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-3838
Practice Address - Country:US
Practice Address - Phone:212-757-3559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-23
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032251251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health