Provider Demographics
NPI:1205919347
Name:RO, EMILY Y (DDS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:Y
Last Name:RO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 8TH AVE APT 2S
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1620
Mailing Address - Country:US
Mailing Address - Phone:212-248-1000
Mailing Address - Fax:
Practice Address - Street 1:250 8TH AVE APT 2S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-1620
Practice Address - Country:US
Practice Address - Phone:212-352-9300
Practice Address - Fax:888-483-1831
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04805511223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics