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Organization
PROSPECT HILLS MEDICAL CARE PLLC
Active
Organization
PROSPECT HILLS MEDICAL CARE PLLC
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
EMEFRE OSCAR-AMANAM UDO MD (OWNER/CEO)
(718) 443-2300
Entity
Organization
Contact information
Practice address
275 HULL ST, BROOKLYN, NY 11233-2906
(718) 443-2300
Mailing address
PO BOX 210968, BROOKLYN, NY 11221-0968
(718) 443-2300
(718) 443-3350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226995
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100001474
MEDICARE PTAN
NY
Enumeration date
07/12/2006
Last updated
05/08/2013
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