Individual
MARIE JOE PROSPERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1453 E 70TH ST, BROOKLYN, NY 11234-5711
(347) 771-2906
Mailing address
1453 E 70TH ST, BROOKLYN, NY 11234-5711
(347) 771-2906
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
N16102
NY
164W00000X
Licensed Practical Nurse
344199
NY
208D00000X
General Practice Physician
344199
NY
Other
Enumeration date
04/05/2023
Last updated
11/06/2025
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