Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Prasuna Prasanna Sudhakar, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1245721141

Mrs. Mary Prasuna Prasanna Sudhakar, FNP-BC is a Family Nurse Practitioner in Staten Island, New York. Licensed in New York and Texas. Registered with an NPI since 2018.

Licensed in
NY, TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

88 Old Town Rd
Staten Island, NY 10304-4212
Phone: (917) 816-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F342723-1 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP141707 (TX)

Record details

NPI number1245721141
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 25, 2018
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025

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