Individual
DR. ANN PROKOFIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
795 MANHATTAN AVE, BROOKLYN, NY 11222-2710
(718) 489-3549
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
256751
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2008
Last updated
10/29/2019
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