Prime Columbia Greene Medical Associates, Pc

LBN: Prime Columbia Greene Medical Associates, Pc
Prime Columbia Greene Medical Associates, Pc is an health care organization with primary practice located at 949 Columbia St , Hudson NY 12534-2624. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Prime Columbia Greene Medical Associates, Pc can be contacted via phone (518) 828-7188, or through Henry, Clarence B via phone (518) 828-7188.

Contact Information

Primary practice address
949 Columbia St Hudson NY 12534-2624
Phone: (518) 828-7188
Fax: (518) 828-5049
Website:
Map and Directions
Authorized official contact:
Name: Henry, Clarence B Doctor of Medicine (MD)
Phone: (518) 828-7188

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 209006 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 109985 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 123180 New York

Profile Details

NPI number 1093771677
LBN Legal business name Prime Columbia Greene Medical Associates, Pc
DBA Doing business as
Authorized official Henry, Clarence B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2006
Last updated Nov 4th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093771677 NPPES
New York MEDICAID 00195813
New York MEDICAID 02311659

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