# ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093789497
- **Authorized official:** ANN D BECKER (ADMINISTRATOR)
- **Authorized official phone:** (518) 891-3845

## Contact information

- **Practice address:** 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY 12983-5644
- **Practice address phone:** (518) 891-3845
- **Practice address fax:** (518) 891-1236
- **Mailing address:** 2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY 12983-5644
- **Mailing address phone:** (518) 891-3845
- **Mailing address fax:** (518) 891-1236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 11/04/2015