Provider Demographics
NPI:1235885039
Name:SCHLICHT, EMILY (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:SCHLICHT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 5TH AVE # 2746
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-2794
Mailing Address - Country:US
Mailing Address - Phone:516-830-0303
Mailing Address - Fax:516-706-6125
Practice Address - Street 1:12 WAYAAWI AVE
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11709-1009
Practice Address - Country:US
Practice Address - Phone:516-830-0303
Practice Address - Fax:516-706-6125
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047850225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist