Sujatha Hettiarach Desilva in Port Jervis - General Practice
Sujatha Hettiarach Desilva - NPI 1639251846
Sujatha Hettiarach Desilva is a General Practice in Port Jervis, New York. Sujatha Hettiarach Desilva practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sujatha Hettiarach Desilva is 1639251846. The last update date is 2012-01-25.
Sujatha Hettiarach Desilva's current location address is 141 Pike St, Port Jervis, New York. You can contact this provider via phone number 8458564002 and fax number 8458564002. The mailing address for Sujatha Hettiarach Desilva is 141 Pike St, Port Jervis, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sujatha Hettiarach Desilva |
|---|---|
| Address | 141 Pike St, Port Jervis, New York |
| Phone Number | 8458564002 |
| Fax Number | 8458564002 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1639251846 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2012-01-25 |
Provider Mailing Address Detail
| Address | 141 Pike St |
|---|---|
| City | Port Jervis |
| State | New York (NY) |
| Post Code | 127711807 |
| Phone Number | 8458564002 |
| Fax Number | 8458564002 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 39885 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3143299 | NY | -- |
Post Comment/ Review Below
What is the Sujatha Hettiarach Desilva's unique identification number?
The Sujatha Hettiarach Desilva has been assigned the NPI (National Provider Identifier) Number 1639251846 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Sujatha Hettiarach Desilva's facilities are geographically located?
The facilities of Sujatha Hettiarach Desilva are physically situated at the following location: 141 Pike St, Port Jervis, NY, 127711807.
What is Sujatha Hettiarach Desilva's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sujatha Hettiarach Desilva's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639251846 to Sujatha Hettiarach Desilva?
The Centers for Medicare & Medicaid Services assigned the 1639251846 to Sujatha Hettiarach Desilva on 2006-10-19.
When was the information regarding Sujatha Hettiarach Desilva most recently updated?
The details pertaining to the Sujatha Hettiarach Desilva, including its address, specialty, and other relevant information, were last refreshed on 2012-01-25.