# ADIRONDACK CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1407093438
- **Authorized official:** JIM P TAMULAITIS D.C. (OWNER)
- **Authorized official phone:** (518) 773-2000

## Contact information

- **Practice address:** 230 5TH AVE EXT, GLOVERSVILLE, NY 12078-1820
- **Practice address phone:** (518) 773-2000
- **Practice address fax:** (518) 773-2663
- **Mailing address:** 230 5TH AVE EXT, GLOVERSVILLE, NY 12078-1820
- **Mailing address phone:** (518) 773-2000
- **Mailing address fax:** (518) 773-2663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X005212 | NY | Yes |

## Other

- **Enumeration date:** 01/13/2009
- **Last updated:** 09/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 51846B | MEDICARE P10 | NY |