| 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 |
|---|---|
| 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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