PRIME CARE PHYSICIANS P.L.L.C. NPI 1134348170

NPI Information

NPI: 1134348170
Provider Name: PRIME CARE PHYSICIANS, P.L.L.C.

Doing Business As: NORTHEAST ADVANCE IMAGING, P.C.

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
315 S MANNING BLVD
MEDICAL IMAGING DEPARTMENT
ALBANY, NY
ZIP 12208
Phone: (518) 525-1852
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PRIME CARE PHYSICIANS, P.L.L.C. is a diagnostic radiology radiology in Albany, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PRIME CARE PHYSICIANS, P.L.L.C. NPI is 1134348170. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northeast Advance Imaging, P.c..

The provider's business location address is:

315 S MANNING BLVD
MEDICAL IMAGING DEPARTMENT
ALBANY, NY
ZIP 12208-707
Phone: (518) 525-1852
Fax: (518) 525-5187

The provider's authorized official is Michael Whalen .
The authorized official title is Director Of Administration and has the following contact phone number (518) 435-2704.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 3/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	54964	NEW YORK	No
2	2085N0904X	Radiology	Nuclear Radiology	54964	NEW YORK	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	54964	NEW YORK	No
4	363AM0700X	Physician Assistant	Medical	54964	NEW YORK	No
5	2085R0202X	Radiology	Diagnostic Radiology	54964	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02616571	MEDICAID	NEW YORK
2	BA0251	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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