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Organization

PRASERT ITHARAT, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRASERT ITHARAT MD (PRESIDENT)
(914) 963-0042
Entity
Organization

Contact information

Practice address
249 PARK AVE, YONKERS, NY 10703-2405
(914) 963-0042
(914) 964-7948
Mailing address
249 PARK AVE, YONKERS, NY 10703-2405
(914) 963-0042
(914) 964-7948

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
127385
NY

Other

Enumeration date
02/21/2008
Last updated
03/27/2008
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