Mrs. Mildred Echevarria Thaw
Dental Hygienist
162 W 19th St
Deer Park
, New York 11729-4834
Mrs. Mildred Echevarria Thaw
Dental Hygienist
162 W 19th St
Deer Park
, New York 11729-4834
(516) 466-0053
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mrs. Mildred Echevarria Thaw
- Dr. Nicholas Tucci 800 Community Drive
- Manhasset, NY
- Zip : 11030
- Phone : (516) 466-0053
Second Address
- Mrs. Mildred Echevarria Thaw
- 162 W 19th St
- Deer Park, NY
- Zip : 11729-4834
- Phone : (516) 314-2827
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 012545 | NY |
National Provider Identifier
| NPI | 1053884973 |
|---|---|
| Provider Name | Mrs. Mildred Echevarria Thaw |
| First Address | Manhasset, NY 11030 |
| Second Address | Deer Park, NY 11729-4834 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2019 |
| Last Update Date | 03/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 012545 | DENTAL HYGIENE LICENSE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.