Dr Stephen Joseph Pruden, DC | |
55 Bryant Ave, 2nd Floor, Roslyn, NY 11576-1137 | |
(516) 626-3965 | |
(516) 625-7701 |
Full Name | Dr Stephen Joseph Pruden |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 40 Years |
Location | 55 Bryant Ave, Roslyn, New York |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144236019 | NPI | - | NPPES |
X4234-1 | Other | NY | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X4234-1 (New York) | Primary |
Provider Name | Stephen Pruden Dc Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215032719 PECOS PAC ID: 8426064544 Enrollment ID: O20070130000125 |
Mailing Address | Practice Location Address |
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Dr Stephen Joseph Pruden, DC 55 Bryant Ave, 2nd Floor, Roslyn, NY 11576-1137 Ph: (516) 626-3965 | Dr Stephen Joseph Pruden, DC 55 Bryant Ave, 2nd Floor, Roslyn, NY 11576-1137 Ph: (516) 626-3965 |
Stephen Pruden Dc Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 55 Bryant Ave, 2nd Floor, Roslyn, NY 11576 Phone: 516-626-3965 Fax: 516-625-7701 | |
Live Well Chiropractic Of Massapequa Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 17 Lumber Rd Ste 8, Roslyn, NY 11576 Phone: 516-316-2032 | |
Dr. Patrick G Decarolis, Chiropractor Medicare: Medicare Enrolled Practice Location: 30 Middle Neck Rd, Roslyn, NY 11576 Phone: 516-365-2700 Fax: 516-365-2794 |