Individual
DR. REBECCA PRUTHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
450 FASHION AVE, NEW YORK, NY 10123-0101
(212) 564-2331
Mailing address
128 E 86TH ST APT 2A, NEW YORK, NY 10028-1005
(917) 520-8850
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
005765
NY
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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