Organization · Type 2 NPI

Prohealth Care Associates, LLP

Clinical Medical Laboratory · Bethpage, NY

NPI number 1700960440 Active

Practice location

4045 Hempstead Tpke
Bethpage, NY 11714-5611

Call (516) 731-7770 Map

Fax (516) 731-7059

Mailing address

1 Dakota Drive, Suite 320
Lake Success, NY 11042

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	33D0156362 (NY)

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

8 other providers at this address

NPI record

NPI: 1700960440
Entity type: Organization (Type 2)
Issued: Oct 25, 2006
Last updated: Jun 16, 2018
Status: Active
Subpart: Yes of Prohealth Care Associates, LLP

Other names

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Bethpage Medical Laboratory A Division of Prohealth Care Associates, LLP · doing business as
Island Medical Group A Division of Prohealth Care Associates, LLP · doing business as

Authorized official

Dr. David Cooper, MD
CEO, Managing Partner
(516) 622-6000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700960440

Prohealth Care Associates, LLP's National Provider Identifier is 1700960440, issued on Oct 25, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Bethpage, NY. The record was last updated on Jun 16, 2018.