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Contact Information

KIMBERLY PRINZIVALLI, RPAC
259 1ST ST
MINEOLA, NY11501-3957
 Phone: 516-663-8312
 Fax: 516-663-2184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIMBERLY PRINZIVALLI · (Female)

NPI Number 1912173774
Status Active
Credentials RPAC
Entity Individual
Enumeration date 05/01/2008
Last updated 05/01/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 06080
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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