Georges M Princivil, PA
Physician Assistant in Staten Island, New York
1598295883- Practice location
- 812 Forest Ave, Staten Island, NY 10310-2446
- Phone
- 718-571-9196
- Fax
- —
- Last updated
- August 22, 2020
Georges M Princivil is a Physician Assistant based in Staten Island, NY. Georges M Princivil practices in Staten Island, NY and has the professional credentials of PA. The NPI Number for Georges M Princivil is 1598295883 and holds a License No. 25MP00434900 (NJ). The current practice location address for Georges M Princivil is 812 Forest Ave, Staten Island, NY 10310-2446 and can be reached out via phone at 718-571-9196.
Provider Profile Details
- NPI Number
- 1598295883
- Provider Name
- Georges M Princivil
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 812 Forest Ave, Staten Island, NY 10310-2446
- Phone Number
- 718-571-9196
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 19, 2017
- Last Update Date
- August 22, 2020
- Certification Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 812 Forest Ave
Staten Island, NY 10310-2446 - City
- Staten Island
- State
- New York
- Zip
- 10310-2446
- Phone Number
- 718-571-9196
Provider Business Mailing Address Details
- Address
- 1087 E Jersey St Apt C2
Elizabeth, NJ 07201-2550 - City
- Elizabeth
- State
- NJ
- Zip
- 07201-2550
- Phone Number
- 908-937-0535
License Information
- License Number (1)
- 25MP00434900
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00434900
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X
- License Number (3)
- 023465
- License State (3)
- NY
- Taxonomy (3)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Georges M Princivil, PA?
The NPI number of Georges M Princivil, PA is 1598295883. It was assigned on June 19, 2017 and is currently active in the NPPES registry.
What is the specialty of Georges M Princivil, PA?
Georges M Princivil, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00434900.
Where does Georges M Princivil, PA practice?
The practice location is 812 Forest Ave, Staten Island, NY 10310-2446. The office can be reached at 718-571-9196 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598295883 directly on the NPPES registry website.