Provider Demographics
NPI:1790049427
Name:KNIGHT, EMILY R
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:R
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4552 ONTARIO CENTER RD
Mailing Address - Street 2:
Mailing Address - City:WALWORTH
Mailing Address - State:NY
Mailing Address - Zip Code:14568-9726
Mailing Address - Country:US
Mailing Address - Phone:315-524-2885
Mailing Address - Fax:
Practice Address - Street 1:4552 ONTARIO CENTER RD
Practice Address - Street 2:
Practice Address - City:WALWORTH
Practice Address - State:NY
Practice Address - Zip Code:14568-9726
Practice Address - Country:US
Practice Address - Phone:315-524-2885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist