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Organization
PRIME CARE PHYSICIANS, P.L.L.C.
Active
Organization
PRIME CARE PHYSICIANS, P.L.L.C.
Active
Other names
Health Stream Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA C CAVANNA DO (DIRECTOR)
(845) 758-6046
Entity
Organization
Contact information
Practice address
17 GLENN POND ROAD, SUITE 3, RED HOOK, NY 12571-1824
(845) 758-6046
(845) 758-6051
Mailing address
17 GLENN POND ROAD, SUITE 3, RED HOOK, NY 12571-1824
(845) 758-6046
(845) 758-6051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02616571
—
NY
Enumeration date
09/16/2005
Last updated
03/28/2012
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