Provider Demographics
NPI:1841757440
Name:PRIORITY MEDICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:PRIORITY MEDICAL SERVICES, PLLC
Other - Org Name:PRIORITY 1 URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-867-8040
Mailing Address - Street 1:2080 WESTERN AVENUE
Mailing Address - Street 2:BOX 132
Mailing Address - City:GUILDERLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12084
Mailing Address - Country:US
Mailing Address - Phone:518-867-8040
Mailing Address - Fax:518-475-9081
Practice Address - Street 1:2080 WESTERN AVENUE
Practice Address - Street 2:
Practice Address - City:GUILDERLAND
Practice Address - State:NY
Practice Address - Zip Code:12084
Practice Address - Country:US
Practice Address - Phone:518-867-8040
Practice Address - Fax:518-867-3035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care