Individual
DR. MARC PRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 WATERS PL, SUITE M108, BRONX, NY 10461-2728
(718) 931-5620
(718) 931-8663
Mailing address
1200 WATERS PLACE, SUITE M108, BRONX, NY 10461-0367
(718) 931-5620
(718) 931-8663
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
140092
NY
2085N0700X
Neuroradiology Physician
140092
NY
2085N0904X
Nuclear Radiology Physician
140092
NY
2085R0202X
Diagnostic Radiology Physician
Primary
140092
NY
2085R0203X
Therapeutic Radiology Physician
140092
NY
2085R0204X
Vascular & Interventional Radiology Physician
140092
NY
2085U0001X
Diagnostic Ultrasound Physician
140092
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00922454
—
NY
01
—
140092
LICENSE
NY
01
—
MA04250500
LICENSE
NJ
Enumeration date
07/06/2006
Last updated
06/25/2013
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