# ADIRONDACK HEALTH REGIONAL MEDICAL, P.C.

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

## Provider details

- **NPI number:** 1841732765
- **Authorized official:** IRWIN LIEB MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (518) 897-2704

## Contact information

- **Practice address:** 46 BROAD ST STE A, PLATTSBURGH, NY 12901-3301
- **Practice address phone:** (518) 566-9452
- **Practice address fax:** (518) 566-9831
- **Mailing address:** 2233 STATE ROUTE 86, ATTN: PROVIDER ENROLLMENT, SARANAC LAKE, NY 12983-5644
- **Mailing address phone:** (518) 897-4725
- **Mailing address fax:** (518) 897-2423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | — |
| 176B00000X | Midwife | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 11/09/2016
- **Last updated:** 09/10/2025
