Individual provider · Type 1 NPI

Vincent Setiawan Prawoko, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1003268301 Active

Practice location

1650 Grand Concourse
Bronx, NY 10457-7606

Call (347) 601-1241 Map

Fax (718) 960-2055

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003268301

Vincent Setiawan Prawoko, MD's National Provider Identifier is 1003268301, issued on Jul 11, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jul 11, 2016.