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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.