Individual
ANITA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
4418 E. RIDGE ROAD, WILLIAMSON, NY 14589
(315) 589-4641
(315) 589-9585
Mailing address
4418 E. RIDGE ROAD, WILLIAMSON, NY 14589
(315) 589-4641
(315) 589-9585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3341741
NY
363LF0000X
Family Nurse Practitioner
334174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02629261
—
NY
Enumeration date
10/23/2006
Last updated
06/29/2023
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