Individual
PRASHANT MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 376-6075
(631) 539-4092
Mailing address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
(516) 562-4280
(516) 562-2626
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
250106
NY
207RI0200X
Infectious Disease Physician
36494
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00354434
RR MEDICARE
IA
Enumeration date
04/07/2006
Last updated
01/16/2024
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