# JYOTI SRIVASTAVA DDS & ROBERT CASTRACANE DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EastSide Dental Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588022297
- **Authorized official:** DR. JYOTI SRIVASTAVA MS,DDS (CEO)
- **Authorized official phone:** (212) 758-9498

## Contact information

- **Practice address:** 595 MADISON AVE FL 27, NEW YORK, NY 10022-1649
- **Practice address phone:** (212) 758-9498
- **Mailing address:** 595 MADISON AVE FL 27, NEW YORK, NY 10022-1649
- **Mailing address phone:** (212) 758-9498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2016
- **Last updated:** 08/30/2016