Search › Massachusetts › 1041C0700X
Emma Banevicius
NPI 1982119657 · on the registry since 2017
Practice
- Address
- 17 Greenville St
Roxbury, MA 02119 - Phone
- (617) 587-0730
- Clinicians at this address
- 12
Additional practice sites
- 700 Massachusetts Ave Fl 3, Cambridge, MA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
1041C0700X - Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts