Vincent Setiawan Prawoko, MD is a student in an organized health care education training program in Bronx, NY with 12 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Vincent Setiawan Prawoko, MD NPI is 1003268301. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1650 GRAND CONCOURSE
BRONX, NY
ZIP 10457-606
Phone: (347) 601-1241
Fax: (718) 960-2055
The NPI 1003268301 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/11/2016 and was last updated on 7/11/2016.