Express Health Services, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2338331 Issued in NY

Legal business name

EXPRESS HEALTH SERVICES, INC.

Practice address

65 W Merrick Rd
Valley Stream, NY 11580-5709

Phone

(516) 986-5429

Fax

(516) 825-0112

NPI assigned

Jul 23, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lucien G Prince, M.D, M.B.A., M.S.

Title

Chief Executive Officer

Phone

(646) 752-2642

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469232000000",
    "number": "1215480447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805709",
            "telephone_number": "516-986-5429",
            "fax_number": "516-825-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805709",
            "telephone_number": "516-986-5429",
            "fax_number": "516-825-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "LUCIEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "646-752-2642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, M.B.A., M.S."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "56004928",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231060",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "2338331",
            "primary": true
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "NY",
            "license": "0165601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.