Individual
DHARANA DEVI PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 920-4321
Mailing address
229 MEREDITH LN, WEST HEMPSTEAD, NY 11552-1244
(516) 242-9127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030913
NY
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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