Organization
PRASAD CHILDREN'S DENTAL HEATH PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA CECILIA ESCARRA (PROGRAM ADMINISTRATOR)
(845) 434-0376
Entity
Organization
Contact information
Practice address
465 BRICKMAN RD, HURLEYVILLE, NY 12747-6002
(845) 434-0376
(845) 434-1791
Mailing address
465 BRICKMAN RD, HURLEYVILLE, NY 12747-5314
(845) 434-0376
(845) 434-1791
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5254200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02052284
—
NY
Enumeration date
07/20/2006
Last updated
08/11/2015
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