Kathleen Malico, RDH,BSDH,OMT
Dental Hygienist in Centerport, NY. Individual provider (NPI-1).
NPI number1669915898
StatusActive
Last updated in NPPESNov 19, 2016
Details
- NPI
- 1669915898
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Malico
- Credential
- RDH,BSDH,OMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2016
- Last updated
- Nov 19, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 159061 | NY | Yes |
Practice location
15 Lone Oak CtCenterport, NY 11721-1451
Phone 631-385-8963
Mailing address
15 Lone Oak CtCenterport, NY 11721-1451
Phone 631-385-8963
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.