Provider Demographics
NPI:1417109521
Name:MACDERMOTT, EMMA JANE (MB,BAO,BCH, BA MRCPI)
Entity Type:Individual
Prefix:DR
First Name:EMMA JANE
Middle Name:
Last Name:MACDERMOTT
Suffix:
Gender:F
Credentials:MB,BAO,BCH, BA MRCPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 E. 70TH STREET
Mailing Address - Street 2:HOSPITAL FOR SPECIAL SURGERY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-606-1151
Mailing Address - Fax:
Practice Address - Street 1:353 E. 70TH STREET
Practice Address - Street 2:HOSPITAL FOR SPECIAL SURGERY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-606-1151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ19943208000000X
NY0030392080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics