Individual
DR. JAYA SARIN PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6100
Mailing address
COLUMBIA - NY PRESBYTERIAN MEDICAL CENTER, 630 WEST 168TH STREET, NEW YORK, NY 10032
(212) 305-4552
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
055578
NY
125Q00000X
Oral Medicine Dentistry
055578
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D-10260
MA
Other
Enumeration date
09/04/2008
Last updated
11/20/2025
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