Individual
DR. PRASAD MANOHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 DUBOIS ST, ST LUKES CORNWALL HOSPITAL, NEWBURGH, NY 12550-4851
(845) 561-4400
(845) 790-2675
Mailing address
1 REGIMENTAL PL, NEW WINDSOR, NY 12553-5621
(718) 541-2168
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
002681-1
NY
207L00000X
Anesthesiology Physician
Primary
ME133099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02824679
—
NY
Enumeration date
11/07/2006
Last updated
08/27/2018
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