Prominis Care Ipa, LLC

NPI #1194608281 in Glendale, New York

Provider Information

NPI Number: 1194608281
Entity Type: Organization
Organization Name: Prominis Care Ipa, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 28, 2025
Last Updated: Jul 28, 2025

Practice Location

Address: 6451 CENTRAL AVE
City: Glendale
State: New York
ZIP Code: 11385-6258
Phone: (718) 669-7635

Authorized Official

Name: ANDRAS FENYVES, MD
Title: DIRECTOR
Phone: (718) 780-1001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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