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Individual

DR. JOSHUA PRERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
852 GLENRIDGE AVE, NORTH WOODMERE, NY 11581-3019
(516) 569-3425
Mailing address
852 GLENRIDGE AVE, NORTH WOODMERE, NY 11581-3019
(516) 569-3425

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005974
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00246075
NY
Enumeration date
10/16/2006
Last updated
01/04/2010
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