Organization
PROKHOROV'S PEDIATRICS AND CHILD NEUROLOGY PC
Active
Organization
PROKHOROV'S PEDIATRICS AND CHILD NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SVETLANA PROKHOROVA MD (PRESIDENT)
(718) 938-8762
Entity
Organization
Contact information
Practice address
9817 QUEENS BLVD, LL2, REGO PARK, NY 11374-3336
(718) 275-5600
(718) 275-5608
Mailing address
9817 QUEENS BLVD, LL2, REGO PARK, NY 11374-3336
(718) 275-5600
(718) 275-5608
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
Other
Enumeration date
08/20/2010
Last updated
06/03/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up