Look up the most recent NPI and PECOS records

Prince Daniel

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

Based on the most recent information from CMS, provider Prince Daniel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1184111601
Provider Type
Individual
Full Name
Daniel, Prince
Title
Mr.
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
4/19/2018
Last Updated
4/27/2020

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 021933 New York

Prince Daniel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Guarnera, Grazia

Crispi, Victoria

Sommers, Stephanie

Sirisena, Shalini

Yevtukhov, Allen

Anees, Insherah

Lantowski, Agnieszka

Weitzner, Esther

Morano, Martin

Vitulli, Vincent Anthony