Prince, Austin D
Prince, Austin D is an sole proprietor health care provider with primary practice located at 601 Portion Rd Ste 2 , Lake Ronkonkoma NY 11779-4585. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Prince, Austin D can be contacted via phone (631) 648-9708.Contact Information
Primary practice address
601 Portion Rd Ste 2
Lake Ronkonkoma NY 11779-4585
Phone: (631) 648-9708
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | New York |
Profile Details
| NPI number | 1821768557 |
|---|---|
| LBN Legal business name | Prince, Austin D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2021 |
| Last updated | Sep 14th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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