Prime Care Physicians, P.L.L.C.
Organization Active NPI Cardiovascular Disease Physician · Troy, NY
NPI 1457571465 · NPPES record last updated Mar 28, 2012
Key facts
- NPI
- 1457571465
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 54964 (NY)
- Legal business name
- PRIME CARE PHYSICIANS, P.L.L.C.
- Practice address
- 2 New Hampshire Ave
Suite 200
Troy, NY 12180-1762 - Phone
- (518) 271-8882
- Fax
- (518) 271-8885
- NPI assigned
- May 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Whalen
- Title
- Director of Administration
- Phone
- (518) 435-2704
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Prime Care Physicians PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | 54964 | NY | Yes |
| Interventional Cardiology Physician |
207RI0011X | 54964 | NY | |
| Medical Physician Assistant |
363AM0700X | 54964 | NY |
Addresses
Primary practice location
2 New Hampshire Ave
Suite 200
Troy, NY 12180-1762
Mailing address
4 Atrium Dr
Suite 100
Albany, NY 12205-1441
Phone (518) 435-2704
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02616571 | Medicaid | NY |
Other names
- Troy Asscoiates in Cardiology
Other providers in Troy, NY
- Alexandra Christine Potter
- Carly M Premo
- Stacey Prescott
- Amy E Price
- Camila Prigol Machado
- Sarah Lynne Prior
- Private Healthcare Facilities
- PRN Physical, Occupational and Speech Therapy Network, PLLC
- Barry John Pronold
- Adrian Przybyla
All providers in Troy, NY · Cardiovascular Disease Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.