| NPI | 1730920117 |
|---|---|
| Doing Business As | PRIME THERAPY |
| Entity Type | Organization |
| Authorized Contact | ADA CHUK KWAN LEE Owner 917-915-8506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-09-29 |