# AMIYA PRASAD, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780722744
- **Authorized official:** KATHY BAEZ (COO)
- **Authorized official phone:** (516) 693-0700

## Contact information

- **Practice address:** 901 STEWART AVE, SUITE206, GARDEN CITY, NY 11530-4893
- **Practice address phone:** (516) 742-4636
- **Practice address fax:** (516) 742-4647
- **Mailing address:** PO BOX 7123, GARDEN CITY, NY 11530-7123
- **Mailing address phone:** (516) 742-4636
- **Mailing address fax:** (718) 479-0529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 179440 | NY | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01557840 | — | NY |