Individual
CHANDRA PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 UNION VALLEY RD, MAHOPAC, NY 10541-3826
(845) 621-2486
Mailing address
158 UNION VALLEY RD, MAHOPAC, NY 10541-3826
(845) 621-2486
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
294177-1
NY
163WC0200X
Critical Care Medicine Registered Nurse
294177-1
NY
163WH0200X
Home Health Registered Nurse
294177-1
NY
163WP0200X
Pediatric Registered Nurse
294177-1
NY
163WX1500X
Ostomy Care Registered Nurse
Primary
294177-1
NY
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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