| Prime Virtual Care Center Llc | |
|
165 Ithaca St Bay Shore NY 11706-4606 | |
| (520) 843-4567 | |
| Not Available |
| Full Name | Prime Virtual Care Center Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 165 Ithaca St, Bay Shore, New York |
| Authorized Official Name and Position | Smith Jackson (MANAGER) |
| Authorized Official Contact | 5208434567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Virtual Care Center Llc 165 Ithaca St Bay Shore NY 11706-4606 Ph: (520) 843-4567 | Prime Virtual Care Center Llc 165 Ithaca St Bay Shore NY 11706-4606 Ph: (520) 843-4567 |
| NPI Number | 1013843861 |
|---|---|
| Provider Enumeration Date | 06/19/2026 |
| Last Update Date | 06/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013843861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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