Provider Demographics
NPI:1760192538
Name:EMAGY HEALTHCARE LLC
Entity Type:Organization
Organization Name:EMAGY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMELEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:929-300-0340
Mailing Address - Street 1:1305 HICKS ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-1703
Mailing Address - Country:US
Mailing Address - Phone:646-406-4096
Mailing Address - Fax:
Practice Address - Street 1:1305 HICKS ST STE 1
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-1703
Practice Address - Country:US
Practice Address - Phone:929-300-0340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory