Healthcare Provider Details

I. General information

NPI: 1336848837
Provider Name (Legal Business Name): LINDSAY PRINCER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 E 46TH ST RM 800
NEW YORK NY
10017-9281
US

IV. Provider business mailing address

20 E 46TH ST RM 800
NEW YORK NY
10017-9281
US

V. Phone/Fax

Practice location:
  • Phone: 646-490-4680
  • Fax: 646-490-4619
Mailing address:
  • Phone: 646-490-4680
  • Fax: 646-490-4619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number029635
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: