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NPI Code Detail

MEDICARE: PROHEALTH CARE ASSOCIATES LLP

MEDICARE: PROHEALTH CARE ASSOCIATES LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician6039109NY
2207RC0000XCardiovascular Disease Physician6039109NY
3207RE0101XEndocrinology, Diabetes & Metabolism Physician6039109NY
4207RG0100XGastroenterology Physician6039109NY
5207RH0003XHematology & Oncology Physician6039109NY
6207RP1001XPulmonary Disease Physician6039109NY
7207RR0500XRheumatology Physician6039109NY
8207RS0010XSports Medicine (Internal Medicine) Physician6039109NY
9207RX0202XMedical Oncology Physician6039109NY
10207V00000XObstetrics & Gynecology Physician6039109NY
11207Y00000XOtolaryngology Physician6039109NY
12208000000XPediatrics Physician6039109NY
13291U00000XClinical Medical Laboratory6039109NY
14332B00000XDurable Medical Equipment & Medical Supplies6039109NY
15207R00000XInternal Medicine Physician6039109NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
105334OTHERNYRAILROADMEDICAREQUEENS
2CE1459OTHERRAILROAD MEDICARE

General Provider Information

NPI Number : 1275596280
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROHEALTH CARE ASSOCIATES LLP
Provider Business Mailing Address
First Line : 2800 MARCUS AVE
Second Line :
City : LAKE SUCCESS
State : NY
Zip : 11042-1008
Country : US
Telephone Number : 516-622-6000
Fax Number : 516-622-6068
Provider Business Practice Location Address
First Line : 2800 MARCUS AVE
Second Line :
City : LAKE SUCCESS
State : NY
Zip : 11042-1008
Country : US
Telephone Number : 516-622-6000
Fax Number : 516-608-2889
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. DAVID J COOPER
Credential : MD
Telephone Number : 516-622-6000
Provider Enumeration Date : 04/10/2006
Last Update Date : 06/27/2012

Similar Medicare Providers

1235192998 — ELLIOT J PELLMAN MD
Practice Location Address:
2800 MARCUS AVE
LAKE SUCCESS, NY
11042-1008
Practice Phone: 516-622-6040
Practice Fax:
1457314114 — DAVID J COOPER MD
Practice Location Address:
2800 MARCUS AVE
LAKE SUCCESS, NY
11042-1008
Practice Phone: 516-622-6000
Practice Fax:
1053375220 — STANLEY COOPER MD
Practice Location Address:
2800 MARCUS AVE
LAKE SUCCESS, NY
11042-1008
Practice Phone: 516-622-6100
Practice Fax: 516-622-6111
1629032792 — HARVEY B POLLAK MD
Practice Location Address:
2800 MARCUS AVE
LAKE SUCCESS, NY
11042-1008
Practice Phone: 516-622-6040
Practice Fax: 516-622-6091
1770538548 — RACHELLE BITTON MD
Practice Location Address:
2800 MARCUS AVE
LAKE SUCCESS, NY
11042-1008
Practice Phone: 516-390-5760
Practice Fax: 516-354-0926
1851339642 — DR. STEVEN SCOTT SIEGEL DPM
Practice Location Address:
2800 MARCUS AVE , SUITE 203
LAKE SUCCESS, NY
11042-1008
Practice Phone: 516-603-5066
Practice Fax: 718-263-2775

Directions to “PROHEALTH CARE ASSOCIATES LLP ” Practice Location

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