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Contact Information

ADIRONDACK PULMONARY & SLEEP MEDICINE PLLC
142 BOYNTON AVENUE
SUITE A
PLATTSBURGH, NY12901
 Phone: 518-562-9119
 Fax: 518-562-0900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADIRONDACK PULMONARY SLEEP MEDICINE PLLC · (Female)

NPI Number 1366510091
Status Active
Credentials
Entity Individual
Enumeration date 12/01/2006
Last updated 05/04/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 223963
  • VT License # 042-0011093
  • NY Medicaid 02224000
  • NY Other DA8263 RAILROAD MEDICARE
  • VT Other RX4056 MEDICARE VERMONT
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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