PRINCE MEDICINE PC (NPI# 1124311915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124311915 |
| Entity Type | Organization |
| Organization Name | PRINCE MEDICINE PC |
| Practice Address |
12 Platinum Ct Medford NY 11763-2251 |
| Practice Telephone | 5163644274 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2012-06-19 |
| Authorized Official Name | DR. HENRY K PRINCE (PRESISENT) |
| Authorized Official Telephone | 5163644274 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
12 PLATINUM CT |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588719041 | Little Angels Center, Inc | Physical Therapist | 12 Platinum Ct, Medford, NY 11763-2247 | 2007-01-24 |
| 1346849437 | Stephanie Joanne Esposito | Massage Therapist | 12 Platinum Ct, Medford, NY 11763-2247 | 2020-10-20 |
| 1922610286 | Kimberly Patricia Rosalia | Student in an Organized Health Care Education/Training Program | 12 Platinum Ct, Medford, NY 11763-2247 | 2020-08-18 |
| 1174165377 | Evolving Gait Physical Therapy, P.C. | Physical Therapist | 12 Platinum Ct, Medford, NY 11763-2247 | 2019-10-09 |
| 1881258911 | Thomas Graham Conway | Occupational Therapist | 12 Platinum Ct, Medford, NY 11763-2247 | 2019-04-24 |
| 1710442207 | Nichole Romeo | Student in an Organized Health Care Education/Training Program | 12 Platinum Ct, Medford, NY 11763-2247 | 2019-02-08 |
| 1629533112 | Leighann Aquaviva | Student in an Organized Health Care Education/Training Program | 12 Platinum Ct, Medford, NY 11763-2247 | 2019-02-08 |
| 1891262895 | Julia Santini | Speech-Language Pathologist | 12 Platinum Ct, Medford, NY 11763-2247 | 2018-10-28 |
| 1144565730 | Guylaine Saintilien | Physician Assistant | 12 Platinum Ct, Medford, NY 11763-2247 | 2012-12-07 |
| 1891044343 | Kenneth Thomas Krauss | Physician Assistant | 12 Platinum Ct, Medford, NY 11763-2247 | 2012-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134503865 | Abdulaziz Saleh Alfadhel | General Practice | 55 Station Lndg, Apt 507, Medford, MA 02155-5007 | 2015-07-13 |
| 1770825150 | Gordon Lockhart | General Practice | 1 Haynes Creek Ln, Medford, NJ 08055-9540 | 2013-03-23 |
| 1023375367 | University Professional Services | General Practice | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2012-04-11 |
| 1427315761 | University Professional Services | General Practice | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2012-04-11 |
| 1245532589 | Balancedocs Inc | General Practice | 3156 State St, Medford, OR 97504-8450 | 2010-11-18 |
| 1255431151 | Carl E Osborn | General Practice | 3156 State St, Medford, OR 97504-8450 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.