Individual
PRASERT ITHARAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 PARK AVE, YONKERS, NY 10703-3402
(914) 966-9787
(914) 966-9793
Mailing address
PO BOX 998, YONKERS, NY 10703-0998
(914) 966-9787
(914) 966-9793
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
127385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00466995
—
NY
Enumeration date
06/15/2006
Last updated
09/11/2014
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