Individual
DR. AMIYA PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.S.,P.C.
Contact information
Practice address
901 STEWART AVE, SUITE 206, GARDEN CITY, NY 11530-4893
(516) 742-4636
(516) 742-4647
Mailing address
901 STEWART AVE, SUITE 206, GARDEN CITY, NY 11530-4893
(516) 742-4636
(516) 742-4647
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
179440
NY
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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