Individual
DR. ANISA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
110-20 JAMAICA AVE, RICHMOND HILLS, NY 11418
(718) 850-4644
Mailing address
160-15 77TH AVE, FLUSHING, NY 11366
(718) 969-4502
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005903-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02532832
—
NY
Enumeration date
07/20/2006
Last updated
07/09/2007
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