| Prasad Children's Dental Heath Program, Inc | |
|
465 Brickman Rd Hurleyville NY 12747-6002 | |
| (845) 434-0376 | |
| (845) 434-1791 |
| Full Name | Prasad Children's Dental Heath Program, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 465 Brickman Rd, Hurleyville, New York |
| Authorized Official Name and Position | Maria Cecilia Escarra (PROGRAM ADMINISTRATOR) |
| Authorized Official Contact | 8454340376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prasad Children's Dental Heath Program, Inc 465 Brickman Rd Hurleyville NY 12747-5314 Ph: (845) 434-0376 | Prasad Children's Dental Heath Program, Inc 465 Brickman Rd Hurleyville NY 12747-6002 Ph: (845) 434-0376 |
| NPI Number | 1013937143 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013937143 | NPI | - | NPPES |
| 02052284 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5254200R (New York) | Primary |