# PRODIGY AESTHETICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prodigy Aesthetics and Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437856648
- **Authorized official:** CAROLYN CEDENO APRN (OWNER)
- **Authorized official phone:** (973) 221-5527

## Contact information

- **Practice address:** 680 BROADWAY STE 205, PATERSON, NJ 07514-1527
- **Practice address phone:** (973) 790-0123
- **Mailing address:** 680 BROADWAY STE 205, PATERSON, NJ 07514-1527
- **Mailing address phone:** (973) 790-0123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2023
- **Last updated:** 03/08/2023