Individual provider · Type 1 NPI
Lydia M. Prospero, PA-C
Medical Physician Assistant · Rochester, NY
NPI number
1740742980
Active
Practice location
777 Canal View Blvd
Rochester, NY 14623-2825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 23585 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
2 other providers at this address
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About NPI 1740742980
Lydia M. Prospero, PA-C's National Provider Identifier is 1740742980, issued on Apr 5, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Apr 10, 2025.