Nistala, Pratyusha

Nistala, Pratyusha is an individual health care provider with primary practice located at 227 W 29Th St Rm 3R , New York NY 10001-5574. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as her primary health care specialty. Nistala, Pratyusha can be contacted via phone (212) 736-8900.

Contact Information

Primary practice address
227 W 29Th St Rm 3R New York NY 10001-5574
Phone: (212) 736-8900
Fax: (212) 736-8158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 040300-1 New York

Profile Details

NPI number 1902307184
LBN Legal business name Nistala, Pratyusha
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2018
Last updated Jun 16th, 2018 - about 8 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 1902307184 NPPES
Other Z2459030 PASSPORT

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