Organization
PRIMECARE COMPREHENSIVE HEALTH, LLC
Active
Other names
PRIME THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
ADA CHUK KWAN LEE NURSE PRACTITIONER (OWNER)
(917) 915-8506
Entity
Organization
Contact information
Practice address
2600 GLASGOW AVE STE 203, NEWARK, DE 19702-5704
(302) 204-1639
(302) 209-6927
Mailing address
220 SILVER BIRCH LN, BEAR, DE 19701-2384
(917) 915-8506
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/01/2024
Last updated
09/29/2024
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