Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prokhorov's Pediatrics and Child Neurology PC

Organization Pediatrics Physician · NPI 1104132778

Prokhorov's Pediatrics and Child Neurology PC provides Pediatrics Physician services in Rego Park, New York. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9817 Queens Blvd LL2
Rego Park, NY 11374-3336 Not confirmed with CMS for 15 years — call before visiting
Phone: (718) 275-5600
Fax: (718) 275-5608
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X

Record details

NPI number1104132778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Svetlana Prokhorova — President · (718) 938-8762
NPI enumeratedAugust 20, 2010
Last updated in NPPESJune 3, 2011
Mailing address9817 Queens Blvd, Ll2, Rego Park, NY 11374-3336

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