Provider Demographics
NPI:1174295208
Name:NHAISSI, EMILIA (MS)
Entity Type:Individual
Prefix:MRS
First Name:EMILIA
Middle Name:
Last Name:NHAISSI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 BROADWAY STE 3400
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3054
Mailing Address - Country:US
Mailing Address - Phone:347-391-4250
Mailing Address - Fax:
Practice Address - Street 1:225 BROADWAY STE 3400
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3054
Practice Address - Country:US
Practice Address - Phone:347-391-4250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1134191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical