SUDHA K OMPRAKASH

STATEN ISLAND, NY
NPI1326253642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  005194)
Enumeration Date2007-05-11
Last Update Date2007-07-08
Business Address
Mrs. SUDHA K OMPRAKASH PA
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-3260
Mailing Address
Mrs. SUDHA K OMPRAKASH PA
31 NORMAN PL
STATEN ISLAND, NY 10309-4015
Phone number:
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