Stephen Pruden Dc Llc | |
55 Bryant Ave, 2nd Floor, Roslyn, NY 11576-1137 | |
(516) 626-3965 | |
(516) 625-7701 |
Full Name | Stephen Pruden Dc Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 55 Bryant Ave, Roslyn, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215032719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | X004234-1 (New York) | Primary |
Provider Name | Stephen J Pruden |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144236019 PECOS PAC ID: 6204842339 Enrollment ID: I20060228000187 |
Mailing Address | Practice Location Address |
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Stephen Pruden Dc Llc 55 Bryant Ave, 2nd Floor, Roslyn, NY 11576-1137 Ph: (516) 626-3965 | Stephen Pruden Dc Llc 55 Bryant Ave, 2nd Floor, Roslyn, NY 11576-1137 Ph: (516) 626-3965 |
Dr. Stephen Joseph Pruden, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 55 Bryant Ave, 2nd Floor, Roslyn, NY 11576 Phone: 516-626-3965 Fax: 516-625-7701 | |
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 |