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Organization
THEPHWC LLP
Active
Organization
THEPHWC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY JUNTUNEN (OFFICE MANAGER)
(518) 578-4749
Entity
Organization
Contact information
Practice address
1942 MILITARY TPKE, PLATTSBURGH, NY 12901-7375
(518) 310-3644
(518) 310-3645
Mailing address
334 CORNELIA ST, PLATTSBURGH, NY 12901-2329
(518) 578-4749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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