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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902307184 | NPPES |
| Other | Z2459030 | PASSPORT |
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