Organization
PRINE HEALTH MEDICAL GROUP, PLLC
Active
Other names
PRINE Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA HAYNES (ADMINISTRATOR)
(516) 407-2731
Entity
Organization
Contact information
Practice address
400 S OYSTER BAY RD STE 308, HICKSVILLE, NY 11801-3500
(516) 365-5570
Mailing address
370 OLD COUNTRY RD STE 100, GARDEN CITY, NY 11530-1702
(516) 365-5570
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/25/2021
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