Ian Pravda, MD Valid NPI
Individual provider · Dermatology Physician · Manhasset, NY
- NPI
- 1629142047
- Type
- Individual (Type 1)
- Primary specialty
- Dermatology Physician (Dermatology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207N00000X
- License number
- 111507 (NY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-17
- Last updated
- 2007-07-08
Practice location
444 Community Drive
Manhasset, NY 11030
(516) 627-5540