Provider Demographics
NPI:1598138422
Name:PRITHIANI, RINKU (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:RINKU
Middle Name:
Last Name:PRITHIANI
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CHAMBERS ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-1131
Mailing Address - Country:US
Mailing Address - Phone:212-962-6600
Mailing Address - Fax:212-962-6605
Practice Address - Street 1:200 CHAMBERS ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1131
Practice Address - Country:US
Practice Address - Phone:212-962-6600
Practice Address - Fax:212-962-6605
Is Sole Proprietor?:No
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019263363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant