Priscila Cha, DDS
Individual provider Active NPI General Practice Dentistry · Williston Park, NY
NPI 1376975490 · NPPES record last updated Oct 10, 2014
Key facts
- NPI
- 1376975490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 056798 (NY)
- Practice address
- 436 Hillside Ave
Williston Park, NY 11596-2109 - Phone
- (516) 742-9000
- NPI assigned
- Jul 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056798 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 056798 | NY | Yes |
Addresses
Primary practice location
436 Hillside Ave
Williston Park, NY 11596-2109
Mailing address
436 Hillside Ave
Williston Park, NY 11596-2109
Phone (516) 742-9000
Other providers in Williston Park, NY
- Sarah Carlisi
- Carlson Podiatric Care PLLC
- Siobhan Casey
- Kimberly Castro
- Ashley Nicole Catapano
- Jeswin Chacko
- Lena Chan
- Stephanie Chang
- Nirveeta Devika Charles
- Paul Chavez
All providers in Williston Park, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.