| NPI | 1689208464 |
|---|---|
| Doing Business As | THE VILLAGE PRIME CARE, INC. |
| Entity Type | Organization |
| Authorized Contact | DARLEEN CALLAHAN Credentialing Specialist 607-437-7902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |