Prime Columbia Greene Medical Associates

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F305407-1 Issued in NY

Legal business name

PRIME COLUMBIA GREENE MEDICAL ASSOCIATES

Practice address

949 Columbia Street
Hudson, NY 12534-2624

Phone

(518) 828-7188

Fax

(518) 828-2387

NPI assigned

Dec 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Clarance B Henry, M.D.

Title

Medical Director/President

Phone

(518) 943-1442

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1811290786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 COLUMBIA STREET",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342624",
            "telephone_number": "518-828-7188",
            "fax_number": "518-828-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 COLUMBIA STREET",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342624",
            "telephone_number": "518-828-7188",
            "fax_number": "518-828-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME COLUMBIA GREENE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CLARANCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "518-943-1442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305407-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Morgan Poole, LMSW
• Jill Potter
• Julianna Marie Potter, NP
• Scott M Pregont, MD
• Primc Care Physians, P.L.L.C.
• Prime Columbia Greene Medical Associates, PC
• Pulcher & Sacco Inc
• Melissa Anne Purificato
• Michael Pyfrom
• Andrew Z Qian, MD

• Adult Health Nurse Practitioner in Hudson, NY
• Providers in Hudson, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.