Healthcare Provider Details

I. General information

NPI: 1720202351
Provider Name (Legal Business Name): ERINA ECCHER D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 EXECUTIVE PARK DR
ALBANY NY
12203-3718
US

IV. Provider business mailing address

197 GRAND AVE #2
SARATOGA SPRINGS NY
12866-3929
US

V. Phone/Fax

Practice location:
  • Phone: 518-489-6972
  • Fax: 518-446-1824
Mailing address:
  • Phone: 518-225-9960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number049283
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: