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Organization
PRIME CARE PHYSICIANS, P.L.L.C.
Active
Organization
PRIME CARE PHYSICIANS, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WHALEN (DIRECTOR OF ADMINISTRATION)
(518) 435-2704
Entity
Organization
Contact information
Practice address
29 JONES AVE, CHATHAM MEDICAL BUILDING, CHATHAM, NY 12037-1136
(518) 392-8600
(518) 392-8601
Mailing address
4 ATRIUM DR STE 100, ATTN: CREDENTIALING, ALBANY, NY 12205-1441
(518) 435-2740
(518) 458-2610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02616571
—
NY
Enumeration date
04/15/2008
Last updated
11/26/2008
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