33D1004232 CLIA NUMBER - PRASUNA R NUKALAPATI MD

Laboratory Demographics

CLIA Number: 33D1004232

Facility Name: PRASUNA R NUKALAPATI MD

Facility Address:
4673 PARK AVE #1S
BRONX, NY
ZIP 10458
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Facility Phone Number: 718 365-5413

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497744841

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	33D1004232
LAB Type	Physician Office
Facility Name	PRASUNA R NUKALAPATI MD
Street	4673 PARK AVE #1S
City	BRONX
State	NY
ZIP	10458
Phone	718 365-5413
CertificateType	4
CertificateEffectiveDate	9/23/2022
CertificateExpirationDate	9/22/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024