| Sujatha H Desilva | |
|
141 Pike St Port Jervis NY 12771-1807 | |
| (845) 856-4002 | |
| (845) 856-4002 |
| Full Name | Sujatha H Desilva |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 141 Pike St, Port Jervis, New York |
| Authorized Official Name and Position | Sujatha H Desilva (DENTIST) |
| Authorized Official Contact | 18458564002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sujatha H Desilva 141 Pike St Port Jervis NY 12771-1807 Ph: (845) 856-4002 | Sujatha H Desilva 141 Pike St Port Jervis NY 12771-1807 Ph: (845) 856-4002 |
| NPI Number | 1265696058 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265696058 | NPI | - | NPPES |
| 0946341 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 039885 (New York) | Primary |
Lambert Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34-38 Ball St, Port Jervis, NY 12771 Phone: 845-320-3543 | |
Smile Zone Dentistry, Port Jervis Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Fowler St, Port Jervis, NY 12771 Phone: 845-856-6721 | |
Aesthetic Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 E Main St, Port Jervis, NY 12771 Phone: 845-856-5049 Fax: 845-856-3000 | |
Sujatha H De Silva Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Pike Street, Port Jervis, NY 12771 Phone: 845-856-4002 Fax: 845-856-4002 | |
United Community Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Hammond Street, Port Jervis, NY 12771 Phone: 845-856-8450 Fax: 845-343-5390 | |
J. Ward Fitzpatrick Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Pike St, Port Jervis, NY 12771 Phone: 845-856-3311 Fax: 845-856-5389 |