National Provider Identifier

Emily Rose Dvorak, NP

Emily Rose Dvorak, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 277-2365.

NPI 1700448503Ithaca, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1700448503
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
July 01, 2019
Last Updated
July 14, 2019

Practice Location

  • 1301 Trumansburg RD Ste P
  • Ithaca, NY 14850-1397

Phone: (607) 277-2365

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1700448503
Entity Type
Individual
Last Name
Dvorak
First Name
Emily
Middle Name
Rose
Credential
NP
Mailing Street Address
1301 Trumansburg RD Ste P
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1397
Mailing Country
US
Practice Street Address
1301 Trumansburg RD Ste P
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1397
Practice Country
US
Practice Phone
(607) 277-2365
Practice Fax
(607) 277-1415
Enumeration Date
July 01, 2019
Last Updated
July 14, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)