# PRASAD CHILDREN'S DENTAL HEATH PROGRAM, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013937143
- **Authorized official:** DR. MARIA CECILIA ESCARRA (PROGRAM ADMINISTRATOR)
- **Authorized official phone:** (845) 434-0376

## Contact information

- **Practice address:** 465 BRICKMAN RD, HURLEYVILLE, NY 12747-6002
- **Practice address phone:** (845) 434-0376
- **Practice address fax:** (845) 434-1791
- **Mailing address:** 465 BRICKMAN RD, HURLEYVILLE, NY 12747-5314
- **Mailing address phone:** (845) 434-0376
- **Mailing address fax:** (845) 434-1791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5254200R | NY | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 08/11/2015