Provider Demographics
NPI:1013079086
Name:BRADY, HOPE THYRA (RDH)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:THYRA
Last Name:BRADY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5606 CHELSEA CV N
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-7107
Mailing Address - Country:US
Mailing Address - Phone:845-559-9314
Mailing Address - Fax:845-226-8069
Practice Address - Street 1:50 JAY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1144
Practice Address - Country:US
Practice Address - Phone:718-222-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022872124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist