Individual
DR. DAVID NEILD PRENTISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 ROUTE 25A, ROCKY POINT, NY 11778-8846
(631) 821-5900
(631) 821-5906
Mailing address
1300 ROANOKE AVE, MEDICAL STAFF OFFICE, RIVERHEAD, NY 11901-2031
(631) 548-6440
(631) 727-0772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202762
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01937113
—
NY
Enumeration date
06/21/2005
Last updated
04/03/2019
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