Organization
AMIYA PRASAD, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BAEZ (COO)
(516) 693-0700
Entity
Organization
Contact information
Practice address
901 STEWART AVE, SUITE206, GARDEN CITY, NY 11530-4893
(516) 742-4636
(516) 742-4647
Mailing address
PO BOX 7123, GARDEN CITY, NY 11530-7123
(516) 742-4636
(718) 479-0529
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
179440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01557840
—
NY
Enumeration date
02/02/2007
Last updated
08/22/2020
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