Individual
PRABHAKAR KOCHERLAKOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 DUBOIS ST, NEWBURGH, NY 12550-4851
(914) 493-8558
(914) 493-1488
Mailing address
22 SAW MILL RIVER RD, 2ND FLOOR, HAWTHORNE, NY 10532-1533
(914) 593-1606
(914) 593-1790
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
240081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01783664
—
NY
Enumeration date
09/29/2005
Last updated
07/15/2015
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