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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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