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Organization
PROSPECT MEDICAL CARE OF NEW YORK, P.C.
Active
Organization
PROSPECT MEDICAL CARE OF NEW YORK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DANIEL ROBERTS M.D. (PRESIDENT)
(718) 938-3404
Entity
Organization
Contact information
Practice address
1911 CHURCH AVE FL 2, BROOKLYN, NY 11226-3707
(718) 938-3404
Mailing address
1911 CHURCH AVE FL 2, BROOKLYN, NY 11226-3707
(718) 938-3404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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