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Organization

PROSPER PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAGALLY PROSPER MD (OWNER PHYSICIAN)
(718) 421-9176
Entity
Organization

Contact information

Practice address
1825 FOSTER AVE, SUITE 1JJ, BROOKLYN, NY 11230-1834
(718) 421-9176
(718) 421-1539
Mailing address
1825 FOSTER AVE, SUITE 1JJ, BROOKLYN, NY 11230-1834
(718) 421-9176
(718) 421-1539

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
189546
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01605476
NY
Enumeration date
03/19/2013
Last updated
03/19/2013
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