Physician Compare National (NPI:1487654323)

HEALTHCARE PROVIDER: DOUGLAS LOUIS PRISCO SR. M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1487654323
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507902541
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091006000301
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRISCO
	Individual professional last name
Provider First Name	DOUGLAS
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HEART AND LUNG ASSOCIATES, PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2466344205
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4223 FRANCIS LEWIS BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105
	Group Practice or individual's line 2 address
City	BAYSIDE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	113612580
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7182255106
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330106
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y