Individual
DR. JOHN LEO PRUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
78 CROMWELL AVE, STATEN ISLAND, NY 10304-3912
(718) 987-9175
(718) 987-1678
Mailing address
78 CROMWELL AVE, STATEN ISLAND, NY 10304-3912
(718) 987-9175
(718) 987-1678
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
124179
NY
Other
Enumeration date
12/04/2006
Last updated
01/10/2017
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