Individual
PROSPER JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
94 9TH ST UNIT 1-222, BROOKLYN, NY 11215-3178
(212) 882-1110
(212) 882-1120
Mailing address
94 9TH ST UNIT 1-222, BROOKLYN, NY 11215-3178
(212) 882-1110
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308955
NY
Other
Enumeration date
10/03/2018
Last updated
01/30/2024
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