Individual provider · Type 1 NPI

Mary Prasuna Prasanna Sudhakar, FNP- BC

Family Nurse Practitioner · Staten Island, NY

NPI number 1245721141 Active

Practice location

88 Old Town Rd
Staten Island, NY 10304-4212

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP141707 (TX)
Family Nurse Practitioner Primary 363LF0000XF342723-1 (NY)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

Other family nurse practitioner providers in Staten Island

See all in Staten Island →

About NPI 1245721141

Mary Prasuna Prasanna Sudhakar, FNP- BC's National Provider Identifier is 1245721141, issued on May 25, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 6, 2025.