Itharat, Prasert

Itharat, Prasert is an individual health care provider with primary practice located at 2 Park Ave , Yonkers NY 10703-3402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Itharat, Prasert can be contacted via phone (914) 966-9787.

Contact Information

Primary practice address
2 Park Ave Yonkers NY 10703-3402
Fax: (914) 966-9793
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 127385 New York

Profile Details

NPI number 1043254865
LBN Legal business name Itharat, Prasert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Sep 11th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043254865 NPPES
New York MEDICAID 00466995

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