Healthcare Provider Details

I. General information

NPI: 1447414651
Provider Name (Legal Business Name): PRIYA P SEKHRI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 01/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 FULTON ST 2ND FLOOR
NEW YORK NY
10038-2717
US

IV. Provider business mailing address

159 W 24TH ST APT 3B
NEW YORK NY
10011-1982
US

V. Phone/Fax

Practice location:
  • Phone: 212-406-3421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number53699
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: