Individual
PRASHANTA RAJ PANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4499 MANHATTAN COLLEGE PKWY, BRONX, NY 10471-3919
(859) 559-6999
Mailing address
286 S MAIN ST, NEW CITY, NY 10956-3327
(845) 362-8400
(845) 362-8474
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
P131511
NY
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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