| Prime Medical (hudson) | |
|
949 Columbia St Hudson NY 12534-2624 | |
| (518) 828-7188 | |
| (518) 828-5049 |
| Full Name | Prime Medical (hudson) |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 949 Columbia St, Hudson, New York |
| Authorized Official Name and Position | Vincent J Dingman (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5188288249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Medical (hudson) Po Box 2000 Hudson NY 12534-2000 Ph: (518) 828-8363 | Prime Medical (hudson) 949 Columbia St Hudson NY 12534-2624 Ph: (518) 828-7188 |
| NPI Number | 1174879019 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 07/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174879019 | NPI | - | NPPES |
| W79533 | Other | NY | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 1001000H (New York) | Primary |
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