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Search › New York › 207Q00000X

Vanessa Pratomo, MD

NPI 1801109814 · on the registry since 2010

Practice

Address
360 E 193rd St
Bronx, NY 10458
Phone
(718) 920-5521
Organisation at this address
Ben-Tal Pharmacy Services, Inc.
Mmc Family Health Center At 193rd St
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-07-19

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