Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lydia M Prospero, PA-C

Individual provider Medical Physician Assistant · NPI 1740742980

Lydia M Prospero, PA-C is a Physician Assistant in Rochester, New York. Qualified in 2019, 7 years ago. Practices with Strong Obstetrics-Gynecology Group, a 82-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

777 Canal View Blvd
Rochester, NY 14623-2825
Phone: (585) 244-3430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 23585 (NY)

Record details

NPI number1740742980
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Strong Obstetrics-Gynecology Group — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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