Individual
EMERALD M THAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5908 5TH AVE, BROOKLYN, NY 11220-4071
(718) 439-8488
(718) 492-9643
Mailing address
30 RIDINGS PKWY, PRINCETON, NJ 08540-8639
(908) 431-5868
(908) 431-5868
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
182819
NY
207KA0200X
Allergy Physician
MA53549
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01392410
—
NY
01
—
267340201
HEALTH PLUS
NY
01
—
5271429
CIGNA
NY
05
—
8827907
—
NJ
01
—
P2117240
OXFORD
NY
01
—
P2645068
OXFORD
NJ
Enumeration date
12/08/2005
Last updated
02/19/2014
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