Organization
EXPRESS HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIEN G PRINCE M.D, M.B.A., M.S. (CHIEF EXECUTIVE OFFICER)
(646) 752-2642
Entity
Organization
Contact information
Practice address
65 W MERRICK RD, VALLEY STREAM, NY 11580-5709
(516) 986-5429
(516) 825-0112
Mailing address
65 W MERRICK RD, VALLEY STREAM, NY 11580-5709
(516) 986-5429
(516) 825-0112
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
56004928
NY
207R00000X
Internal Medicine Physician
231060
NY
208000000X
Pediatrics Physician
Primary
2338331
NY
246QM0706X
Medical Technologist
0165601
NY
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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