| Organization Name: | PROHEALTH URGENT CARE MEDICINE PLLC |
| NPI Number: | 1285975797 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID J COOPER (MANAGING PARTNER) |
| Mailing Address: | 555 N Broadway Jericho |
| State: | NY US |
| Postal Code: | 117532134 |
| Phone Number: | 5166226000 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2013 |
| NPI Last Update Date: | 03/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |