Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PROHEALTH CARE ASSOCIATES LLP
Active
Organization
PROHEALTH CARE ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J COOPER MD (CHIEF EXECUTIVE OFFICER)
(516) 622-6000
Entity
Organization
Contact information
Practice address
2800 MARCUS AVE, LAKE SUCCESS, NY 11042-1008
(516) 622-6000
(516) 608-2889
Mailing address
2800 MARCUS AVE, LAKE SUCCESS, NY 11042-1008
(516) 622-6000
(516) 622-6068
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
6039109
NY
207R00000X
Internal Medicine Physician
Primary
6039109
NY
207RC0000X
Cardiovascular Disease Physician
6039109
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
6039109
NY
207RG0100X
Gastroenterology Physician
6039109
NY
207RH0003X
Hematology & Oncology Physician
6039109
NY
207RP1001X
Pulmonary Disease Physician
6039109
NY
207RR0500X
Rheumatology Physician
6039109
NY
207RS0010X
Sports Medicine (Internal Medicine) Physician
6039109
NY
207RX0202X
Medical Oncology Physician
6039109
NY
207V00000X
Obstetrics & Gynecology Physician
6039109
NY
207Y00000X
Otolaryngology Physician
6039109
NY
208000000X
Pediatrics Physician
6039109
NY
291U00000X
Clinical Medical Laboratory
6039109
NY
332B00000X
Durable Medical Equipment & Medical Supplies
6039109
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05334
RAILROADMEDICAREQUEENS
NY
01
—
CE1459
RAILROAD MEDICARE
—
Enumeration date
04/10/2006
Last updated
06/27/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up