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Organization
NORTH COUNTRY ADULT MEDICINE PLLC
Active
Organization
NORTH COUNTRY ADULT MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN M THOMSON (BILLING SPECIALIST)
(315) 764-1121
Entity
Organization
Contact information
Practice address
38 HOSPITAL DR, MASSENA, NY 13662-1018
(315) 764-1121
(315) 764-1972
Mailing address
38 HOSPITAL DR, MASSENA, NY 13662-1018
(315) 764-1121
(315) 764-1972
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02883067
—
NY
Enumeration date
11/21/2006
Last updated
11/04/2009
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