| NPI | 1427393149 |
|---|---|
| Other Name | PRIME CARE-111 MARY'S AVE- |
| Entity Type | Organization |
| Authorized Contact | PAUL GORDON Dir Fin/Admin Phys Enterprise 518-525-1585 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2014-01-21 |