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Individual

DR. PRASUNA R NUKALAPATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4673 PARK AVE, BRONX, NY 10458-5623
(718) 365-5413
(718) 364-6716
Mailing address
4673 PARK AVE, BRONX, NY 10458-5623
(718) 365-5413
(718) 364-6716

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
127129
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00237009
NY
Enumeration date
10/18/2005
Last updated
07/25/2013
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