Prime Care Physicians, PLLC
Organization Active NPI Internal Medicine Physician · Chatham, NY
NPI 1700109931 · NPPES record last updated Mar 28, 2012
Key facts
- NPI
- 1700109931
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- PRIME CARE PHYSICIANS, PLLC
- Practice address
- 29 Jones Ave
Chatham Medical Building
Chatham, NY 12037-1136 - Phone
- (518) 392-8600
- Fax
- (518) 392-8501
- NPI assigned
- Mar 2, 2010
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
29 Jones Ave
Chatham Medical Building
Chatham, NY 12037-1136
Mailing address
4 Atrium Dr
Suite 100
Albany, NY 12205-1441
Phone (518) 435-2740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02616571 | Medicaid | NY |
Other providers in Chatham, NY
- Adam O'Brien
- James Konadu Owusu
- Valerie S Persons
- Karl Frederick Popp
- Prime Care Physicians, P.L.L.C.
- Emily Lynne Rapasadi
- Domenic Riccobono
- Heather Ryan
- Michael C Shaffer
- Sarah Shapiro
All providers in Chatham, NY · Internal Medicine 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.