Prime Care Physicians, P.l.l.c. | |
190 Delaware Ave Delmar NY 12054-1311 | |
(518) 475-9235 | |
(518) 475-9406 |
Full Name | Prime Care Physicians, P.l.l.c. |
---|---|
Speciality | Internal Medicine |
Location | 190 Delaware Ave, Delmar, New York |
Authorized Official Name and Position | Michael Whalen (DIRECTOR OF ADMINISTRATION) |
Authorized Official Contact | 5184352704 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prime Care Physicians, P.l.l.c. 4 Atrium Dr Suite 100 Albany NY 12205-1441 Ph: (518) 435-2704 | Prime Care Physicians, P.l.l.c. 190 Delaware Ave Delmar NY 12054-1311 Ph: (518) 475-9235 |
NPI Number | 1053531061 |
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Provider Enumeration Date | 05/01/2007 |
Last Update Date | 03/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053531061 | NPI | - | NPPES |
02616571 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 54964 (New York) | Primary |
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