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Austin Prince
NPI 1821768557 · on the registry since 2021 · sole proprietor
Practice
- Address
- 601 Portion Rd Ste 2
Lake Ronkonkoma, NY 11779 - Phone
- (631) 648-9708
- Organisation at this address
- Genovese Drug Stores Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York