Organization
PRIME CARE PHYSICIANS, P.L.L.C.
Active
Organization
PRIME CARE PHYSICIANS, P.L.L.C.
Active
Other names
Prime Care Physicians, P.L.L.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 NORMANSKILL BLVD, DELMAR, NY 12054-1335
(518) 435-2740
(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
208000000X
Pediatrics Physician
Primary
54964
NY
363LP0200X
Pediatric Nurse Practitioner
54964
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02616571
—
NY
Enumeration date
04/26/2007
Last updated
03/28/2012
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