| NPI | 1750926598 |
|---|---|
| Other Name | PROSPERO HEALTH OF NY |
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM MOEN President 651-329-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2021-12-30 |