Individual
DR. MICHAEL DAVID PREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
26901 76TH AVE STE, NEW HYDE PARK, NY 11040-1433
(718) 470-3572
Mailing address
26901 76TH AVE STE, NEW HYDE PARK, NY 11040-1433
(718) 470-3572
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009-00362
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911996
—
NC
05
—
N0036A
—
SC
Enumeration date
09/05/2007
Last updated
03/20/2020
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