PRINCE MEDICINE PC – NPI #1124311915
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PRINCE MEDICINE PC is a provider located in WOODBURY, NY. NPPES has assigned the NPI number 1124311915 to PRINCE MEDICINE PC on May 26, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Jun 26, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRINCE MEDICINE PC below.

NPI Profile for
PRINCE MEDICINE PC

NPI Number
1124311915
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRINCE MEDICINE PC
Primary location
80 CROSSWAYS PARK DR SUITE 200
WOODBURY, NY 11797-2251
Phone: (516) 802-5025 Fax: (516) 802-5026
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HENRY PRINCE
PRESISENT
Phone: (516) 364-4274
Updated
Certification Date
Jun 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.