Individual
DR. PRAKASH SHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-4600
Mailing address
106 GREEN ACRES RD, VALLEY STREAM, NY 11581-1506
(516) 825-3076
(516) 825-3076
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
153978
NY
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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