Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUSTIN D PRINCE
Active Sole ProprietorAUSTIN D PRINCE is a Physician Assistant healthcare provider located in LAKE RONKONKOMA, New York. NPI 1821768557 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1821768557
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2021 (4.9065692915405 yrs)
- Last Updated
- Sep 14, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 PORTION RD STE 2LAKE RONKONKOMA, NY, 117794585Browse NY providers · Browse ZIP 11779
- Phone
- 6316489708
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| ANISA ALI-PEREZ | PA | 1255370540 |
| BRITTANY KISS | PA-C, DAT | 1386197085 |
| JORDAN MICHIEL | PA-C, MPAS | 1114466216 |
| CARMELA BAYER | PA-C | 1285446609 |
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.