Organization
JYOTI SRIVASTAVA DDS & ROBERT CASTRACANE DMD LLC
Active
Other names
EastSide Dental Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTI SRIVASTAVA MS,DDS (CEO)
(212) 758-9498
Entity
Organization
Contact information
Practice address
595 MADISON AVE FL 27, NEW YORK, NY 10022-1649
(212) 758-9498
Mailing address
595 MADISON AVE FL 27, NEW YORK, NY 10022-1649
(212) 758-9498
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
08/30/2016
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