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Organization

PRIME CARE PHYSICIANS, PLLC

Active
Other names
Northeast Advanced Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL J. WHALEN MBA (DIRECTOR OF ADMINISTRATION)
(518) 435-2704
Entity
Organization

Contact information

Practice address
600 NORTHERN BLVD, MEDICAL IMAGING DEPARTMENT, ALBANY, NY 12204-1004
(518) 471-3283
(518) 471-3064
Mailing address
4 ATRIUM DR, SUITE 100, ALBANY, NY 12205-1441
(518) 435-2704
(518) 458-2610

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2085N0904X
Nuclear Radiology Physician
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0204X
Vascular & Interventional Radiology Physician
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02616571
NY
05
1011152
VT
Enumeration date
03/15/2012
Last updated
03/28/2012
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