Thaw, Emerald M

Thaw, Emerald M is an individual health care provider with primary practice located at 5908 5Th Ave , Brooklyn NY 11220-4071. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Thaw, Emerald M can be contacted via phone (718) 439-8488.

Contact Information

Primary practice address
5908 5Th Ave Brooklyn NY 11220-4071
Phone: (718) 439-8488
Fax: (718) 492-9643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 182819 New York
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MA53549 New Jersey

Profile Details

NPI number 1992780316
LBN Legal business name Thaw, Emerald M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Feb 19th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992780316 NPPES
New Jersey Other P2645068 OXFORD
New Jersey MEDICAID 01392410 OXFORD
New Jersey Other 5271429 OXFORD
New Jersey MEDICAID 8827907 OXFORD
New Jersey Other 267340201 OXFORD
New Jersey Other P2117240 OXFORD

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