# ADIRONDACK MEDICAL PRACTICE LLC

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

## Provider details

- **NPI number:** 1518136001
- **Authorized official:** ANTHONY FRANCIS POLITI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (518) 643-8008

## Contact information

- **Practice address:** 3384 RT 22, PERU, NY 12972
- **Practice address phone:** (518) 643-8008
- **Mailing address:** 3384 RT 22, PERU, NY 12972
- **Mailing address phone:** (518) 643-8008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 162323-1 | NY | Yes |
| 363AM0700X | Medical Physician Assistant | 006858-1 | NY | — |
| 363AM0700X | Medical Physician Assistant | 009293-1 | NY | — |
| 363LF0000X | Family Nurse Practitioner | F331788 | NY | — |

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 02/28/2008