Prasad Children's Dental Heath Program, Inc | |
465 Brickman Rd Hurleyville NY 12747-6002 | |
(845) 434-0376 | |
(845) 434-1791 |
Full Name | Prasad Children's Dental Heath Program, Inc |
---|---|
Speciality | Clinic/center - Dental |
Location | 465 Brickman Rd, Hurleyville, New York |
Authorized Official Name and Position | Maria Cecilia Escarra (PROGRAM ADMINISTRATOR) |
Authorized Official Contact | 8454340376 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prasad Children's Dental Heath Program, Inc 465 Brickman Rd Hurleyville NY 12747-5314 Ph: (845) 434-0376 | Prasad Children's Dental Heath Program, Inc 465 Brickman Rd Hurleyville NY 12747-6002 Ph: (845) 434-0376 |
NPI Number | 1013937143 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 08/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013937143 | NPI | - | NPPES |
02052284 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 5254200R (New York) | Primary |
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