# ADIRONDACK HEALTHCARE ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1306869672
- **Authorized official:** AMY J MCDONALD (OFFICE MANAGER)
- **Authorized official phone:** (518) 643-8008

## Contact information

- **Practice address:** 3384 STATE ROUTE 22, PERU, NY 12972-5305
- **Practice address phone:** (518) 643-8008
- **Practice address fax:** (518) 643-8090
- **Mailing address:** 3384 STATE ROUTE 22, PERU, NY 12972-5305
- **Mailing address phone:** (518) 643-8008
- **Mailing address fax:** (518) 643-8090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 162323-1 | NY | Yes |
| 363AM0700X | Medical Physician Assistant | 006858-1 | NY | — |
| 363LF0000X | Family Nurse Practitioner | F331788 | NY | — |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 12/03/2007