Organization · Type 2 NPI

Prospect Medical Group

Specialist · Syosset, NY

NPI number 1114198504 Active

Practice location

15 Woodcrest Dr
Syosset, NY 11791-3036

Call (718) 613-4442 Map

Mailing address

555 Prospect Pl
Brooklyn, NY 11238-4266

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Another provider at this address

Other specialist providers in Syosset

See all in Syosset →

About NPI 1114198504

Prospect Medical Group's National Provider Identifier is 1114198504, issued on Mar 13, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Syosset, NY. The record was last updated on Mar 24, 2008.