Provider Demographics
NPI:1093568818
Name:PRATT, AKILAH FLORETTE LINTON
Entity Type:Individual
Prefix:MISS
First Name:AKILAH
Middle Name:FLORETTE LINTON
Last Name:PRATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 COWPER AVENUE, COLLEGE GREEN
Mailing Address - Street 2:HOPE PASTURE
Mailing Address - City:KINGSTON 6
Mailing Address - State:KINGSTON
Mailing Address - Zip Code:JMAKN06
Mailing Address - Country:JM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 EAST 210 STREET
Practice Address - Street 2:PARKWAY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-696-2583
Practice Address - Fax:718-881-5074
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program