Organization
TOTAL PRIME MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DOUGAL (OWNER)
(917) 604-6405
Entity
Organization
Contact information
Practice address
86 E 49TH STREET, BROOKLYN, NY 11232
(917) 604-6405
Mailing address
883 CALIFORNIA RD, BRONXVILLE, NY 10708-2334
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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