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Individual
MR. VINCENT PROSPERO
Active
Individual
MR. VINCENT PROSPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010716-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025673401
UNIVERA
NY
01
—
000623141001
BLUE CROSS & BLUE SHIELD
NY
05
—
01557042
—
NY
01
—
125639
MANAGED PHYSICAL NETWORK
NY
01
—
69932
GHI
NY
01
—
9306616
INDEPENDENT HEALTH
NY
Enumeration date
07/28/2005
Last updated
07/13/2026
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