| Prince Medicine Pc | |
|
80 Crossways Park Dr Suite 200 Woodbury NY 11797-2251 | |
| (516) 802-5025 | |
| (516) 802-5026 |
| Full Name | Prince Medicine Pc |
|---|---|
| Speciality | General Practice |
| Location | 80 Crossways Park Dr Suite 200, Woodbury, New York |
| Authorized Official Name and Position | Henry K Prince (PRESISENT) |
| Authorized Official Contact | 5163644274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince Medicine Pc 80 Crossways Park Dr Suite 200 Woodbury NY 11797-1179 Ph: (516) 802-5025 | Prince Medicine Pc 80 Crossways Park Dr Suite 200 Woodbury NY 11797-2251 Ph: (516) 802-5025 |
| NPI Number | 1124311915 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 06/26/2023 |
| Medicare PECOS PAC ID | 0941478978 |
|---|---|
| Medicare Enrollment ID | O20110719000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124311915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Alan A Katz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760468540 PECOS PAC ID: 3577508449 Enrollment ID: I20050621001186 |
| Provider Name | Henry K Prince |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518043173 PECOS PAC ID: 5395767214 Enrollment ID: I20051227000502 |
| Provider Name | Orlando Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811378227 PECOS PAC ID: 6608286075 Enrollment ID: I20201113002416 |
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Evidence Based Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Froehlich Farm Blvd, Woodbury, NY 11797 Phone: 516-801-0170 Fax: 845-230-6639 | |
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Square Care Medical Group, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 40 Crossways Park Dr, Woodbury, NY 11797 Phone: 516-496-3900 |