DR. Shidley Prophete I, MD

NPI #1841751336 in Plainview, New York

Provider Information

NPI Number
1841751336
Entity Type
Individual
Name
DR. Shidley Prophete I, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Mar 27, 2019
Last Updated
Aug 15, 2025

Practice Location

Address
888 OLD COUNTRY RD
ZIP Code
11803-4914
Phone
(516) 719-3000

Specialties & Taxonomy Codes

Specialty
Family Medicine

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