Individual
PRASHIL GOVIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14601 45TH AVE, ROOM 407, FLUSHING, NY 11355-2200
(718) 670-5213
(718) 321-6004
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
225790
NY
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
225790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02370212
—
NY
Enumeration date
04/06/2006
Last updated
01/17/2013
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