Provider Demographics
NPI:1689188781
Name:PROHEALTH CARE ASSOCIATES LLP
Entity Type:Organization
Organization Name:PROHEALTH CARE ASSOCIATES LLP
Other - Org Name:PROHEALTH CARE ASSOCIATES, LLP
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-622-6196
Mailing Address - Street 1:1 DAKOTA DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1136
Mailing Address - Country:US
Mailing Address - Phone:516-622-6196
Mailing Address - Fax:
Practice Address - Street 1:205 E MAIN ST STE 1-8
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-7928
Practice Address - Country:US
Practice Address - Phone:631-427-1500
Practice Address - Fax:631-427-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-28
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty