Provider Demographics
NPI:1699534594
Name:VIRANI, EMMA LEE (LMT)
Entity type:Individual
Prefix:
First Name:EMMA LEE
Middle Name:
Last Name:VIRANI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13509 LYNDON B JOHNSON FWY STE 200
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-4704
Mailing Address - Country:US
Mailing Address - Phone:866-846-7067
Mailing Address - Fax:
Practice Address - Street 1:3 FORDHAM HILL OVAL BSMT
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-4708
Practice Address - Country:US
Practice Address - Phone:866-846-7067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033443225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist