Organization
PROHEALTH CARE ASSOCIATES, LLP
Active
Other names
DellaCorte Footcare - A Division of ProHealth Care Associates, LLP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J COOPER (MANAGING PARTNER)
(516) 622-6000
Entity
Organization
Contact information
Practice address
59-01 69TH STREET, MASPETH, NY 11378
(718) 639-3338
(718) 639-5184
Mailing address
2800 MARCUS AVENUE, LAKE SUCCESS, NY 11042
(516) 622-6000
(516) 608-2889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
003307
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4930830001
DME
NY
01
—
W2L251
MEDICARE PTAN
NY
Enumeration date
09/29/2014
Last updated
08/23/2018
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