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Contact Information

JOHN O DEJORDY, MD
1753 ROUTE 3
ADIRONDACK DERMATOLOGY PC
MORRISONVILLE, NY12962
 Phone: 518-563-7546
 Fax: 518-562-5458
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JOHN O DEJORDY · (Male)

NPI # 1427027549
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 03/21/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 2016181
Hospital affiliation(s)
  • CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR - (Acute Care)
    75 BEEKMAN STREET
    PLATTSBURGH, NY 12901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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