MARLA EBONIQUE CIRITA EMILSEN MS ED
NPI 1932099454
Intermediate Care Facility, Intellectual Disabilities in Brooklyn, NY
Active since July 07, 2025
About Marla Ebonique Cirita Emilsen Ms Ed NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLA EBONIQUE CIRITA EMILSEN MS ED (NPI 1932099454) is an individual intermediate care facility, intellectual disabilities provider in Brooklyn, New York and active in the NPI registry since July 2025.
NPPES Registry Identity
NPI1932099454
Entity TypeIndividualFemale
Primary Taxonomy315P00000X
Provider Legal NameMARLA EBONIQUE CIRITA EMILSENCredential: MS ED
Location Address629 E 82ND ST FL 2Brooklyn, NY 11236-3305
Mailing Address629 E 82nd St Fl 2Brooklyn, NY 11236-3305 · (718) 877-2100
Phone(718) 877-2100
Sole ProprietorYes
Enumeration DateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1932099454 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
629 E 82ND ST FL 2, Brooklyn, NY 11236
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932099454, enumerated as an "individual" on July 07, 2025.
The provider is located at 629 E 82ND ST FL 2 BROOKLYN, NY 11236 and the phone number is (718) 877-2100.
Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
