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Contact Information

ADIRONDACK NEPHROLOGY PC
20 MURRAY STREET
GLENS FALLS, NY12801-2018
 Phone: 518-798-3838
 Fax: 518-798-6125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADIRONDACK NEPHROLOGY PC · (Female)

NPI Number 1508924283
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2006
Last updated 03/31/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 1550461
  • NY Medicaid 00819109
  • Other 000411366001 BCBS NENY
  • Other 10001370 CDPHP
  • Other 106AR1 EMPIRE HEALTHCARE
  • Other 11248 MVP
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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