Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prospect Ave Medical PC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1942695275

Prospect Ave Medical PC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
Specialties on file
3
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

3049 Ocean Pkwy Fl 2
Brooklyn, NY 11235
Phone: (718) 704-9909
Fax: (347) 702-5419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 275763 (NY)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 275763 (NY)
Rehabilitation Clinic/Center Taxonomy 261QR0400X · Licence 275763 (NY)

Record details

NPI number1942695275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yura Stolyarsky — Medical Director · (718) 704-9909
Other names Prospect Medical; Prospect Medical
NPI enumeratedApril 3, 2015
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020
Mailing addressPo Box 230384, Brooklyn, NY 11223-0384

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