-- VINCENT SETIAWAN PRAWOKO MD ⚕️ New York 1003268301

NPI	1003268301
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date	2016-07-11
Last Update Date	2016-07-11

-- VINCENT SETIAWAN PRAWOKO MD

1650 GRAND CONCOURSE

BRONX, NY 10457-7606

Phone number: 347-601-1241

-- VINCENT SETIAWAN PRAWOKO MD

1650 GRAND CONCOURSE

BRONX, NY 10457-7606

Phone number: 347-601-1241