Individual
ANJALI PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VARICK ST RM 900, NEW YORK, NY 10014-4893
(212) 620-0340
Mailing address
235 GRAND ST APT 4305, JERSEY CITY, NJ 07302-4794
(610) 500-6226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
335996
NY
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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