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1427691302
THALESHRAVI PRASHAD
MINEOLA, NY
NPI
1427691302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY F344595-01)
Enumeration Date
2019-10-23
Last Update Date
2021-03-23
Business Address
THALESHRAVI PRASHAD FNP-C
120 MINEOLA BLVD STE 500
MINEOLA, NY 11501-4074
Phone number: 516-663-9545
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Mailing Address
THALESHRAVI PRASHAD FNP-C
120 MINEOLA BLVD
MINEOLA, NY 11501-4064
Phone number: 516-663-9545
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