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Organization
ADIRONDACK HEALTHCARE ASSOCIATES, LLC
Active
Organization
ADIRONDACK HEALTHCARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J MCDONALD (OFFICE MANAGER)
(518) 643-8008
Entity
Organization
Contact information
Practice address
3384 STATE ROUTE 22, PERU, NY 12972-5305
(518) 643-8008
(518) 643-8090
Mailing address
3384 STATE ROUTE 22, PERU, NY 12972-5305
(518) 643-8008
(518) 643-8090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
162323-1
NY
363AM0700X
Medical Physician Assistant
006858-1
NY
363LF0000X
Family Nurse Practitioner
F331788
NY
Other
Enumeration date
07/26/2006
Last updated
12/03/2007
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