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Contact Information

ADIRONDACK MANUAL PHYSICAL THERAPY, PLLC
578 AVIATION RD STE 30
QUEENSBURY, NY12804-1814
 Phone: 518-538-8778
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ADIRONDACK MANUAL PHYSICAL THERAPY, PLLC

NPI Number 1760772701
LBN Legal business name ADIRONDACK MANUAL PHYSICAL THERAPY, PLLC
Authorized official ADAM WILLIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2011
Last updated 07/12/2023 - About 3 years ago
Identifiers
NY License # 027046-1
NY Medicaid 02739691
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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