Prince, Simon Elliot

Prince, Simon Elliot is an individual health care provider with primary practice located at 1129 Northern Blvd Ste 101, Manhasset NY 11030-3045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Prince, Simon Elliot can be contacted via phone (516) 365-5570.

Contact Information

Primary practice address
1129 Northern Blvd Ste 101 Manhasset NY 11030-3045
Phone: (516) 365-5570
Fax: (516) 365-5532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 223647 New York

Profile Details

NPI number 1770589285
LBN Legal business name Prince, Simon Elliot
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Feb 12th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770589285 NPPES
New York MEDICAID 02256797

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