Provider Demographics
NPI:1376873117
Name:LONG ISLAND PROMPT CARE INC
Entity Type:Organization
Organization Name:LONG ISLAND PROMPT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:FOX
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-429-2845
Mailing Address - Street 1:315 BLEECKER ST
Mailing Address - Street 2:STE 376
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3427
Mailing Address - Country:US
Mailing Address - Phone:347-429-2845
Mailing Address - Fax:
Practice Address - Street 1:694 8TH AVE
Practice Address - Street 2:RM 203
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-7100
Practice Address - Country:US
Practice Address - Phone:347-429-2845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234927207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty