Prisco, Douglas Louis

Prisco, Douglas Louis is an sole proprietor health care provider with primary practice located at 3003 New Hyde Park Rd Ste. 201, New Hyde Park NY 11042-1214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Prisco, Douglas Louis can be contacted via phone (516) 488-2880.

Contact Information

Primary practice address
3003 New Hyde Park Rd Ste. 201 New Hyde Park NY 11042-1214
Phone: (516) 488-2880
Fax: (516) 488-2022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 126645 New York

Profile Details

NPI number 1487654323
LBN Legal business name Prisco, Douglas Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Nov 28th, 2011 - about 13 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 1487654323 NPPES
New York Other DS049 OXFORD
New York Other 03411 OXFORD
New York Other 343741 OXFORD
New York MEDICAID 00479974 OXFORD
New York Other 6006070 OXFORD
New York Other 126645 OXFORD

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