Individual
DR. PRASAD SATYASAI VADDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 ROME AVE, STATEN ISLAND, NY 10304-4318
(718) 447-7222
(718) 447-7223
Mailing address
50 ROME AVE, STATEN ISLAND, NY 10304-4318
(718) 447-7222
(718) 447-7223
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
128793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0480459
EVERCARE
NY
01
—
2C4145
TOUCHSTONE
NY
05
—
717060
—
NY
Enumeration date
12/11/2006
Last updated
10/08/2010
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