Individual
MARTIN R PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, FACR
Contact information
Practice address
416 E 55TH ST, NEW YORK, NY 10022-5104
(212) 746-6801
(212) 421-1844
Mailing address
416 E 55TH ST, NEW YORK, NY 10022-5104
(212) 746-6801
(212) 421-1844
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
213343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01925713
—
NY
01
—
02186203
MEDICAID GROUP #
NY
01
—
W35021
MEDICARE GROUP #
NY
Enumeration date
07/06/2006
Last updated
03/27/2023
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