Organization
PROHEALTH CARE ASSOCIATES, LLP
Active
Parent organization
PROHEALTH CARE ASSOCIATES, LLP
Other names
Island Medical Group A Division of ProHealth Care Associates, LLP, Bethpage Medical Laboratory A Division of ProHealth Care Associates, LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROHEALTH CARE ASSOCIATES, LLP
Authorized official
DR. DAVID COOPER M.D. (CEO, MANAGING PARTNER)
(516) 622-6000
Entity
Organization
Contact information
Practice address
4045 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5611
(516) 731-7770
(516) 731-7059
Mailing address
1 DAKOTA DRIVE, SUITE 320, LAKE SUCCESS, NY 11042
(516) 622-6190
(516) 622-2914
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33D0156362
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300055237
MEDICARE ID
NY
Enumeration date
10/25/2006
Last updated
06/16/2018
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