SUJATHA H DE SILVA DDS PC NPI 1871564054

NPI Information

SUJATHA H DE SILVA DDS PC is a dental clinic center in Staten Island, NY. SUJATHA H DE SILVA DDS PC NPI is 1871564054. The provider is registered as an organization entity type.

The provider's business location address is:

973 TARGEE STREET
STATEN ISLAND, NY
ZIP 10304
Phone: (718) 556-5432
Fax: (718) 556-5432

The provider's authorized official is Sujatha H De Silva .
The authorized official title is Principal and has the following contact phone number (718) 556-5432.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 8/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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