Provider Demographics
NPI:1740432491
Name:PRIME CARE, INC.
Entity Type:Organization
Organization Name:PRIME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWICKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-944-0244
Mailing Address - Street 1:56 W 45TH ST
Mailing Address - Street 2:1404
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4206
Mailing Address - Country:US
Mailing Address - Phone:212-944-0244
Mailing Address - Fax:212-944-0466
Practice Address - Street 1:56 W 45TH ST
Practice Address - Street 2:1404
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4206
Practice Address - Country:US
Practice Address - Phone:212-944-0244
Practice Address - Fax:212-944-0466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0158L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0158L001OtherTHE NEW YORK STATE DEPARTMENT OF HEALTH