Individual
DR. SIMON ELLIOT PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1129 NORTHERN BLVD, STE 101, MANHASSET, NY 11030-3045
(516) 365-5570
(516) 365-5532
Mailing address
1129 NORTHERN BLVD, STE 101, MANHASSET, NY 11030-3045
(516) 365-5570
(516) 365-5532
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
223647
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02256797
—
NY
Enumeration date
06/21/2005
Last updated
02/12/2013
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