Sujatha H De Silva Dds Pc

LBN: Sujatha H De Silva Dds Pc
Sujatha H De Silva Dds Pc is an health care organization with primary practice located at 973 Targee Street , Staten Island NY 10304. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Sujatha H De Silva Dds Pc can be contacted via phone (718) 556-5432, or through De Silva, Sujatha H via phone (718) 556-5432.

Contact Information

Primary practice address
973 Targee Street Staten Island NY 10304
Phone: (718) 556-5432
Fax: (718) 556-5432
Website:
Map and Directions
Authorized official contact:
Name: De Silva, Sujatha H Doctor of Dental Surgery (DDS)
Phone: (718) 556-5432

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1871564054
LBN Legal business name Sujatha H De Silva Dds Pc
DBA Doing business as
Authorized official De Silva, Sujatha H Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 25th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871564054 NPPES
New York MEDICAID 00946341

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