Sujatha H Desilva

LBN: Sujatha H Desilva
Sujatha H Desilva is an health care organization with primary practice located at 141 Pike St , Port Jervis NY 12771-1807. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Sujatha H Desilva can be contacted via phone (845) 856-4002, or through Desilva, Sujatha H via phone 18458564002.

Contact Information

Primary practice address
141 Pike St Port Jervis NY 12771-1807
Phone: (845) 856-4002
Fax: (845) 856-4002
Website:
Map and Directions
Authorized official contact:
Name: Desilva, Sujatha H Doctor of Dental Surgery (DDS)
Phone: 18458564002

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 039885 New York

Profile Details

NPI number 1265696058
LBN Legal business name Sujatha H Desilva
DBA Doing business as
Authorized official Desilva, Sujatha H Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2008
Last updated Jul 11th, 2008 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265696058 NPPES
New York MEDICAID 0946341

Popular Providers