Organization
PRIME CARE PHYSICIANS, PLLC
Active
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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