Individual
DR. PRASHANT P PONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 CROTTY LN, NEW WINDSOR, NY 12553-4778
(845) 562-0760
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
222066
NY
207KA0200X
Allergy Physician
222066
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501812819
DRIVERS LICENSE
NY
Enumeration date
06/28/2006
Last updated
05/09/2025
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