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
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1841758067
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	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1113
Country	:	US
Telephone Number	:	516-622-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4911 13TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3135
Country	:	US
Telephone Number	:	718-431-0073
Fax Number	:

Authorized Official
Title or Position	:	CEO AND MANAGING PARTNER
Name	:	ZEYAD BAKER
Credential	:	MD
Telephone Number	:	516-622-6000

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	03/06/2019

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