| 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 |
| Certification 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 | () | Primary |
| Provider Name | Kristin M Thomson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669400339 PECOS PAC ID: 4587607528 Enrollment ID: I20050609000983 |
| 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 | Jennine Mcauley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770736761 PECOS PAC ID: 7416013800 Enrollment ID: I20090310000489 |
| Provider Name | Cydney E Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033162417 PECOS PAC ID: 0749327781 Enrollment ID: I20091026000024 |
| Provider Name | Maryellen Bonito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699101485 PECOS PAC ID: 2163651837 Enrollment ID: I20140130000125 |
| Provider Name | Cindy a Yiu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497159909 PECOS PAC ID: 8820317936 Enrollment ID: I20150512000168 |
| Provider Name | Jodi Velocci |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437189073 PECOS PAC ID: 9032446919 Enrollment ID: I20190815000878 |
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