Individual
SUKANYA S PRASAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33-57 HARRISON ST, PERINATAL CENTER, JOHNSON CITY, NY 13790
(607) 763-6101
Mailing address
346 GRAND AVE, UNITED HEALTH SERVICES HOSP INC, JOHNSON CITY, NY 13790
(607) 770-0025
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
156502
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00874231
—
NY
Enumeration date
05/16/2006
Last updated
07/08/2007
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