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Contact Information

326 TOM MILLER ROAD LLC
326 TOM MILLER RD
PLATTSBURGH, NY12901-6430
 Phone: 518-563-7097
 Fax: 518-563-9690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 326 TOM MILLER ROAD LLC

NPI # 1235676198
LBN Legal business name 326 TOM MILLER ROAD LLC
Authorized official NICHOLAS CHAUVIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2017
Last updated 01/30/2017 - About 9 years ago
Identifiers
NY License # 50051508
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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