Prospect Medical Care PC

NPI #1033427000 in Bronx, New York

Provider Information

NPI Number: 1033427000
Entity Type: Organization
Organization Name: Prospect Medical Care PC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 23, 2010
Last Updated: Jan 5, 2012

Practice Location

Address: 560 PROSPECT AVE
City: Bronx
State: New York
ZIP Code: 10455-4403
Phone: (718) 402-0700

Authorized Official

Name: LARISA V MASHENSKY, MD
Title: PRESIDENT
Phone: (718) 998-3020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Physical Therapist	225100000X
Internal Medicine	207R00000X	Primary

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