Provider Demographics
NPI:1548149867
Name:WISSER, EMILY (MA CF-SLP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:WISSER
Suffix:
Gender:F
Credentials:MA CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 W 148TH ST APT 3B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-3703
Mailing Address - Country:US
Mailing Address - Phone:610-207-1455
Mailing Address - Fax:
Practice Address - Street 1:2200 AQUEDUCT AVE E
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-1400
Practice Address - Country:US
Practice Address - Phone:718-584-5805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist