NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CENTRAL ADIRONDACK FAMILY PRACTICE
114 SOUTH SHORE RD.
OLD FORGE, NY13420-0207
 Phone: 315-369-6619
 Fax: 315-369-6533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CENTRAL ADIRONDACK FAMILY PRACTICE

NPI # 1306914627
LBN Legal business name CENTRAL ADIRONDACK FAMILY PRACTICE
Authorized official MARK WEBSTER - (PARTNER)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 12/04/2006
Last updated 07/08/2007 - About 12 years ago
Identifiers
NY License # 124353
NY Medicaid 01196932
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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