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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

NPI Number 1508924283
LBN Legal business name ADIRONDACK NEPHROLOGY PC
Authorized official JOSEPH MIHINDU - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 03/31/2015 - About 11 years ago
Identifiers
NY License # 1550461
NY Medicaid 00819109
Other 000411366001 BCBS NENY
Other 10001370 CDPHP
Other 106AR1 EMPIRE HEALTHCARE
Other 11248 MVP
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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