Provider Demographics
NPI:1245912039
Name:DUFF, EMILY PATRICIA
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:PATRICIA
Last Name:DUFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 LINDSEY AVE # 1
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:NY
Mailing Address - Zip Code:10511-1609
Mailing Address - Country:US
Mailing Address - Phone:914-261-5622
Mailing Address - Fax:
Practice Address - Street 1:5 N GREENWICH RD
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-2311
Practice Address - Country:US
Practice Address - Phone:914-303-7920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027805-01225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist