Individual
DR. DOUGLAS LOUIS PRISCO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3003 NEW HYDE PARK RD, STE. 201, NEW HYDE PARK, NY 11042-1214
(516) 488-2880
(516) 488-2022
Mailing address
3003 NEW HYDE PARK RD, STE. 201, NEW HYDE PARK, NY 11042-1214
(516) 488-2880
(516) 488-2022
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
126645
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00479974
—
NY
01
—
03411
GHI MEDICARE
NY
01
—
126645
HIP
NY
01
—
343741
EMPIRE BC/BS
NY
01
—
6006070
CIGNA
NY
01
—
DS049
OXFORD
NY
Enumeration date
07/21/2005
Last updated
11/28/2011
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