Sujatha H Desilva is a Dental Clinic in Port Jervis, New York. It is located at 141 Pike St, Port Jervis, NY and its contact number is 845-856-4002. The authorized person for Sujatha H Desilva is Dr. Sujatha H Desilva
who is Dentist of the clinic and their contact number is 184-585-64002. The primary license number for Sujatha H Desilva is 039885 (General Practice) in New York. Sujatha H Desilva Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Sujatha H Desilva Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Sujatha H Desilva
Specialization:
General Practice Dentistry
Clinic Address:
141 Pike St, Port Jervis, New York, 12771-1807
Phone:
845-856-4002
Fax:
845-856-4002
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Sujatha H Desilva
Position:
Dentist
Contact Number:
184-585-64002
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Sujatha H Desilva clinic are as mentioned below.
NPI Number:
1265696058
NPI Enumeration Date:
11 Jul, 2008
NPI Last Update On:
11 Jul, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sujatha H Desilva are as mentioned below.
Specialization
License Number
State
Status
General Practice
039885
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0946341
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Sujatha H Desilva 141 Pike St, Port Jervis, New York
Zip:
12771-1807
Phone Number:
845-856-4002
Fax Number:
845-856-4002
Patients can reach Sujatha H Desilva at 141 Pike St, Port Jervis, New York or can call to book an appointment on 845-856-4002. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.