Provider Demographics
NPI:1558703850
Name:EMANUEL-BOONE, HARRIETT C (TEACHER)
Entity Type:Individual
Prefix:MS
First Name:HARRIETT
Middle Name:C
Last Name:EMANUEL-BOONE
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 W 132ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-7889
Mailing Address - Country:US
Mailing Address - Phone:646-245-3917
Mailing Address - Fax:
Practice Address - Street 1:146 W 132ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-7889
Practice Address - Country:US
Practice Address - Phone:646-245-3917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-27
Last Update Date:2013-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY706473174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator