Provider Demographics
NPI:1639922636
Name:ANSBACHER, EMILY R (LAC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:R
Last Name:ANSBACHER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 BYRON AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-3432
Mailing Address - Country:US
Mailing Address - Phone:914-310-7584
Mailing Address - Fax:
Practice Address - Street 1:TWO RIVERS ACUPUNCTURE PLLC
Practice Address - Street 2:265 NORTH HIGHLAND AVE. #105
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960
Practice Address - Country:US
Practice Address - Phone:845-418-0809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007350171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist