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 |