Individual
DR. VINAY PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(845) 863-4629
Mailing address
590 RIVER RD, NEWBURGH, NY 12550-1303
(845) 863-4629
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
285702
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2013
Last updated
09/27/2022
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