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Poornima Prabhu, PTA

NPI 1558237172 · on the registry since 2025 · sole proprietor

Practice

Address
28 N Sheridan Ave
Bethpage, NY 11714
Phone
(646) 204-0607

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York