Organization
PRIME CARE PHYSICIANS, P.L.L.C.
Active
Other names
Prime Care Physicians, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WHALEN (DIRECTOR OF ADMINISTRATION)
(518) 435-2704
Entity
Organization
Contact information
Practice address
4 ATRIUM DR, SUITE 100, ALBANY, NY 12205-1441
(518) 435-2704
(518) 458-2610
Mailing address
4 ATRIUM DR, SUITE 100, ALBANY, NY 12205-1441
(518) 435-2704
(518) 458-2610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
20913
NY
207Q00000X
Family Medicine Physician
20913
NY
207R00000X
Internal Medicine Physician
20913
NY
207RC0000X
Cardiovascular Disease Physician
Primary
20913
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
20913
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
20913
NY
207RI0011X
Interventional Cardiology Physician
20913
NY
207UN0901X
Nuclear Cardiology Physician
20913
NY
208000000X
Pediatrics Physician
20913
NY
2083P0901X
Public Health & General Preventive Medicine Physician
20913
NY
2085U0001X
Diagnostic Ultrasound Physician
20913
NY
208M00000X
Hospitalist Physician
20913
NY
363AM0700X
Medical Physician Assistant
20913
NY
363LA2200X
Adult Health Nurse Practitioner
20913
NY
363LC0200X
Critical Care Medicine Nurse Practitioner
20913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02616571
—
NY
Enumeration date
08/26/2005
Last updated
03/28/2012
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