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Contact Information

JAYA S PRADHAN, DMD
622 W 168TH ST
NEW YORK, NY10032-3720
 Phone: 212-305-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Pathology

1223P0106X
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral Medicinist

125Q00000X
Indicates primary specialty

NPI Profile & details for JAYA S PRADHAN · (Female)

NPI # 1467600361
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 09/04/2008
Last updated 11/20/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • MA License # D-10260
  • NY License # 055578
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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