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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GEORGES M PRINCIVIL, PA

Active Sole Proprietor

GEORGES M PRINCIVIL, PA is a Physician Assistant healthcare provider located in STATEN ISLAND, New York. NPI 1598295883 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STATEN ISLAND, NY

Registration Details

NPI Number
1598295883
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2017 (8.9704511793104 yrs)
Last Updated
Aug 22, 2020
Licenses
25MP00434900 (NJ)
25MP00434900 (NJ)
023465 (NY)
Sole Proprietor
Yes

Practice Information

Address
812 FOREST AVE
STATEN ISLAND, NY, 103102446
Browse NY providers · Browse ZIP 10310
Phone
7185719196
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in STATEN ISLAND, NY

Name Credential NPI
ELAINA M CAPORALE PA-C 1275524043
CLARE A BEAGEN-MCHUGH PA 1295718856
MRS. WENDY ALEXANDRA SIMONS PHYSICIAN ASSISTANT 1124095328
ROBERT F CARLUCCI MD 1386603405
JAMES VINCENT RUSSO PA 1194785725
DANIELLE MARIE GRANDNER PA 1053371591
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.