Provider Demographics
NPI:1811311137
Name:ARSUAGA CRUET, SYLVIA ENID (DMD)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ENID
Last Name:ARSUAGA CRUET
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 1:3 CONSULATE DR
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-2434
Mailing Address - Country:US
Mailing Address - Phone:914-821-6262
Mailing Address - Fax:
Practice Address - Street 1:626 E BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3741
Practice Address - Country:US
Practice Address - Phone:914-821-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0589531223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics