Individual
AMRITA HARIPRASHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1100
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(929) 728-1350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031078
NY
Other
Enumeration date
10/30/2023
Last updated
08/12/2024
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