Vincent Setiawan Prawoko, MD

NPI #1003268301 in Bronx, New York

Provider Information

NPI Number
1003268301
Entity Type
Individual
Name
Vincent Setiawan Prawoko, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
MD
Enumeration Date
Jul 11, 2016
Last Updated
Jul 11, 2016

Practice Location

Address
1650 GRAND CONCOURSE
City
Bronx
ZIP Code
10457-7606
Phone
(347) 601-1241

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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