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Brooke Thornhill
Student in an Organized Health Care Education/Training Program in East Northport, New York
NPI 1528768793

Brooke Thornhill is a Student in an Organized Health Care Education/Training Program based in East Northport, NY. Brooke Thornhill practices in East Northport, NY. The NPI Number for Brooke Thornhill is 1528768793 and holds a License No. 2023 (New York).

The current practice location address for Brooke Thornhill is 4 Remsen St, East Northport, NY and can be reached out via phone at 631-316-2329.

Location: 4 Remsen St, East Northport, NY, 11731-4927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528768793
Provider Name
Brooke Thornhill
Credential
Provider Entity Type
Individual
Gender
Female
Address
4 Remsen St, East Northport, NY, 11731-4927
Phone Number
631-316-2329
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4 Remsen St
City
East Northport
State
New York
Zip
11731-4927
Phone Number
631-316-2329
Fax Number
person
Provider Business Mailing Address Details
Address
4 Remsen St
City
East Northport
State
New York
Zip
11731-4927
Phone Number
631-316-2329
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2023 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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