Provider Demographics
NPI:1316559909
Name:EMRALINO, LILIANE FLORENCE
Entity Type:Individual
Prefix:
First Name:LILIANE
Middle Name:FLORENCE
Last Name:EMRALINO
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 1:524 E 72ND ST APT 30F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-9804
Mailing Address - Country:US
Mailing Address - Phone:973-954-8248
Mailing Address - Fax:
Practice Address - Street 1:3602 14TH ST
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11106-4704
Practice Address - Country:US
Practice Address - Phone:718-779-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024887225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics