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Organization
MEDICAL ASSOCIATES OF SARANAC LAKE PC
Active
Organization
MEDICAL ASSOCIATES OF SARANAC LAKE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY S FEDERMAN MD (PRESIDENT)
(518) 891-4000
Entity
Organization
Contact information
Practice address
118 MAIN STREET, SARANAC LAKE, NY 12983-1705
(518) 891-4000
(518) 891-2598
Mailing address
118 MAIN STREET, SARANAC LAKE, NY 12983-1705
(518) 891-4000
(518) 891-2598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00402855
—
NY
01
—
CK1320
RAILROAD MEDICARE
NY
Enumeration date
11/30/2006
Last updated
01/25/2008
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