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Organization
NANUET FAMILY DENTISTRY
Active
Organization
NANUET FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARANYA SRINIVASA DMD (OWNER)
(845) 624-2265
Entity
Organization
Contact information
Practice address
41 S MIDDLETOWN RD, NANUET, NY 10954-2802
(845) 624-2265
Mailing address
41 SOUTH MIDDLETOWN RD, NANUET, NY 10954-2802
(845) 624-2265
(845) 624-2264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048484
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02367971
—
NY
Enumeration date
02/01/2007
Last updated
08/23/2022
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