Provider Demographics
NPI:1831725878
Name:EMILY GARBER APRN, PLLC
Entity type:Organization
Organization Name:EMILY GARBER APRN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:GARBER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:203-415-8550
Mailing Address - Street 1:6515 MAIN ST STE 1L
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6350
Mailing Address - Country:US
Mailing Address - Phone:203-415-8550
Mailing Address - Fax:
Practice Address - Street 1:6515 MAIN ST STE 1L
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6350
Practice Address - Country:US
Practice Address - Phone:203-551-4173
Practice Address - Fax:203-902-7297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-22
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service