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Contact Information

ADIRONDACK REHABILITATION MEDICINE PLLC
17 MAIN ST
QUEENSBURY, NY12804-4007
 Phone: 518-798-0767
 Fax: 518-798-0815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ADIRONDACK REHABILITATION MEDICINE PLLC

NPI # 1457395279
LBN Legal business name ADIRONDACK REHABILITATION MEDICINE PLLC
Authorized official TODD JORGENSEN - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2006
Last updated 03/08/2010 - About 16 years ago
Identifiers
NY Medicaid 01902547
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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