| NPI | 1578783205 |
|---|---|
| Doing Business As | PRIME CARE PHYSICIANS, P.L.L.C. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WHALEN Director Of Administration 518-435-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 54964) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 54964) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2012-03-28 |