Organization
PRINE HEALTH IPA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MERLO (PROVIDER RELATIONS)
(516) 548-8192
Entity
Organization
Contact information
Practice address
1129 NORTHERN BLVD STE 101, MANHASSET, NY 11030-3022
(516) 548-8192
Mailing address
370 OLD COUNTRY RD STE 100, GARDEN CITY, NY 11530-1702
(516) 548-8192
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/29/2021
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