Provider Demographics
NPI:1548792880
Name:QUANT, EMILY A (LMT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:A
Last Name:QUANT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 WATERBURY PKWY
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-1522
Mailing Address - Country:US
Mailing Address - Phone:212-444-8762
Mailing Address - Fax:
Practice Address - Street 1:12 WATERBURY PKWY
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-1522
Practice Address - Country:US
Practice Address - Phone:212-444-8762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030195225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist