Individual
DAVID J PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3418
(516) 336-2943
Mailing address
19941 21ST AVE, WHITESTONE, NY 11357-4119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008202
NY
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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