Individual
TANYA PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 BROOME ST, NEW YORK, NY 10013-1510
(212) 453-0222
Mailing address
555 BROOME ST, NEW YORK, NY 10013-1510
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
354211
NY
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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