Provider Demographics
NPI:1235384421
Name:FESSLER, EMMA
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:
Last Name:FESSLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:FESSLER
Other - Last Name:BERNSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:61 ROSEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-3114
Mailing Address - Country:US
Mailing Address - Phone:914-478-4651
Mailing Address - Fax:
Practice Address - Street 1:61 ROSEDALE AVE
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-3114
Practice Address - Country:US
Practice Address - Phone:914-478-4651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR022566-11041C0700X
NYRO22566-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical