Provider Demographics
NPI:1184352130
Name:WOOD, EMILY CHRISTINE
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:CHRISTINE
Last Name:WOOD
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 1:3906 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2512
Mailing Address - Country:US
Mailing Address - Phone:845-768-8291
Mailing Address - Fax:
Practice Address - Street 1:3906 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2512
Practice Address - Country:US
Practice Address - Phone:845-768-8291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist