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Organization
PROHEALTH ACCOUNTABLE CARE MEDICAL GROUP PLLC
Active
Organization
PROHEALTH ACCOUNTABLE CARE MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J COOPER MD (MANAGING PARTNER)
(516) 622-6000
Entity
Organization
Contact information
Practice address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
(516) 622-6000
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
159467
NY
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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