Provider Demographics
NPI:1295820710
Name:DUGGAL, NEESHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEESHA
Middle Name:
Last Name:DUGGAL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 KINGSTON AVE
Mailing Address - Street 2:P.O. BOX 787
Mailing Address - City:WURTSBORO
Mailing Address - State:NY
Mailing Address - Zip Code:12790-7624
Mailing Address - Country:US
Mailing Address - Phone:845-888-8001
Mailing Address - Fax:845-888-8005
Practice Address - Street 1:187 KINGSTON AVE
Practice Address - Street 2:
Practice Address - City:WURTSBORO
Practice Address - State:NY
Practice Address - Zip Code:12790-7624
Practice Address - Country:US
Practice Address - Phone:845-888-8001
Practice Address - Fax:845-888-8005
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025983-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice