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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