# PRIME CARE PHYSICIANS, P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prime Care Physicians, P.L.L.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548480551
- **Authorized official:** MR. MICHAEL WHALEN (DIRECTOR OF ADMINISTRATION)
- **Authorized official phone:** (518) 435-2704

## Contact information

- **Practice address:** 1444 WESTERN AVE, SUITE B-2, ALBANY, NY 12203-3440
- **Practice address phone:** (518) 458-8014
- **Practice address fax:** (518) 533-6714
- **Mailing address:** 4 ATRIUM DR, SUITE 100, ALBANY, NY 12205-1441
- **Mailing address phone:** (518) 435-2704
- **Mailing address fax:** (518) 458-2610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 54964 | NY | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | 54964 | NY | — |
| 207R00000X | Internal Medicine Physician | 54964 | NY | — |
| 363AM0700X | Medical Physician Assistant | 54964 | NY | — |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 03/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02616571 | — | NY |