Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Prinzivalli, RPAC

Individual provider Physician Assistant · NPI 1912173774

Kimberly Prinzivalli, RPAC is a Physician Assistant in Mineola, New York. Graduated from University of Nebraska College of Medicine in 2001, 25 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Trained at
University of Nebraska College of Medicine
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
Fax: (516) 663-2184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 06080 (NY)

Record details

NPI number1912173774
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPAC
Sole proprietorYes
NPI enumeratedMay 1, 2008
Last updated in NPPESMay 1, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Mineola