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Contact Information

INTERNAL MEDICINE OF NORTHERN NEW YORK
53-59 PUBLIC SQ
SUITE 201
WATERTOWN, NY13601
 Phone: 315-782-4950
 Fax: 315-782-3699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE OF NORTHERN NEW YORK · (Female)

NPI Number 1174525547
Status Active
Credentials
Entity Individual
Enumeration date 08/15/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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