Provider Demographics
NPI:1316385958
Name:PRATI, DAWN K (CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:K
Last Name:PRATI
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 WASHINGTON ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-8111
Mailing Address - Country:US
Mailing Address - Phone:845-249-2510
Mailing Address - Fax:845-249-2505
Practice Address - Street 1:207 WASHINGTON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-8111
Practice Address - Country:US
Practice Address - Phone:845-249-2510
Practice Address - Fax:845-249-2505
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2014-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF382197-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02135179Medicaid