Individual
DR. PRASSANNAH SATASIVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
404 E 66TH ST, APT 1A, NEW YORK, NY 10065-9308
(646) 306-8157
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
P93456
NY
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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