Organization
PRIME CARE PHYSICIANS, P.L.L.C.
Active
Other names
Troy Asscoiates in Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WHALEN (DIRECTOR OF ADMINISTRATION)
(518) 435-2704
Entity
Organization
Contact information
Practice address
2 NEW HAMPSHIRE AVE, SUITE 200, TROY, NY 12180-1762
(518) 271-8882
(518) 271-8885
Mailing address
4 ATRIUM DR, SUITE 100, ALBANY, NY 12205-1441
(518) 435-2704
(518) 458-2610
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
54964
NY
207RI0011X
Interventional Cardiology Physician
54964
NY
363AM0700X
Medical Physician Assistant
54964
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02616571
—
NY
Enumeration date
05/01/2007
Last updated
03/28/2012
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