Individual
ASHLEY JANE PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 WASHINGTON BLVD FL 4, STAMFORD, CT 06902-2450
(203) 276-8490
(203) 276-7218
Mailing address
1351 WASHINGTON BLVD FL 4, STAMFORD, CT 06902-2450
(203) 276-8490
(203) 276-7218
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
023233
NY
363AM0700X
Medical Physician Assistant
Primary
6043
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023233
NYS LICENSE
NY
Enumeration date
02/11/2019
Last updated
12/20/2024
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