DR. PRASHANT P PONDA


Address: 103 Executive Dr Ste 500, New Windsor, NY 12553-5508
Phone: 8455620760

DR. PRASHANT P PONDA (NPI# 1295763639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295763639
Entity Type Individual
Full Name DR. PRASHANT P PONDA
Credential M.D.
Practice Address 103 Executive Dr Ste 500
New Windsor
NY 12553-5508
Mailing Address 660 White Plains Rd Fl 4
Tarrytown
NY 10591-5139
Practice Telephone 8455620760
Mailing Telephone 9149842546
Enumeration Date 2006-06-28
Last Update Date 2020-10-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207KA0200X Allergy & Immunology
Specialization: Allergy
222066 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY DRIVERS LICENSE 501812819 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 Westage Business Ctr Dr Ste 224, Fishkill, NY 125242265 8458961809

Office Location

Street Address 103 EXECUTIVE DR STE 500
City NEW WINDSOR
State NY
Zip Code 12553-5508

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Taxonomy Information

Taxonomy Code 207KA0200X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Allergy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427668318 Jackson Heights Allergy& Asthma,pc Allergy & Immunology 9317 Roosevelt Ave Fl 2, Jackson Heights, NY 11372-7943 2020-08-05
1689053126 Basicare Medical PC Allergy & Immunology 13631 Roosevelt Ave, Suite 12, Flushing, NY 11354-5509 2015-05-28
1235518648 Bellrick Medical, P.C. Allergy & Immunology 2820 Merrick Rd, Suite C, Bellmore, NY 11710-5733 2015-05-19
1255640181 Maria- Anna Vastardi Allergy & Immunology 9036 7th Ave, Brooklyn, NY 11228-3625 2010-09-27
1528388907 Harvey Irwin Wolfe Allergy & Immunology 17 Hampton Road, C/o Dr Alvin Orlian, Great Neck, NY 11020 2010-06-08
1457599797 Nicole Aliza Mazer Allergy & Immunology 2601 Cpl Kennedy St, Bayside, NY 11360-2452 2009-01-24
1336305390 Bora V Kim Allergy & Immunology 210-33 26th Avenue Ground Level, Bayside, NY 11360-5908 2008-07-30
1205099801 Paula Anne Brown Allergy & Immunology 600 Westage Business Center Drive, Fishkill, NY 12524-2281 2008-07-03
1720256639 Michael L Lewin Md PC Allergy & Immunology 109 E 61st St, New York, NY 10065-8101 2008-02-13
1750580726 Pauline Fani Allergy & Immunology 9 Center Dr, Roslyn, NY 11576-1447 2007-07-11
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Competitor

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City NEW WINDSOR
Zip Code 12553

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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