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Organization
PROHEALTH CARE ASSOCIATES, LLP
Active
Organization
PROHEALTH CARE ASSOCIATES, LLP
Active
Other names
Gramercy Park Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J COOPER MD (CHIEF EXECUTIVE OFFICER)
(516) 622-6196
Entity
Organization
Contact information
Practice address
380 2ND AVE RM 303, NEW YORK, NY 10010-5639
(212) 955-1500
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
03/17/2018
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