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Organization
NORTHERN LIGHTS SLEEP MEDICINE, PC
Active
Organization
NORTHERN LIGHTS SLEEP MEDICINE, PC
Active
Other names
Champlain Valley Pulmonary Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRUCE BUNN MD (PRESIDENT)
(518) 562-7705
Entity
Organization
Contact information
Practice address
206 CORNELIA ST, SUITE 307, PLATTSBURGH, NY 12901-2779
(518) 562-7705
(518) 562-7706
Mailing address
206 CORNELIA ST, SUITE 307, PLATTSBURGH, NY 12901-2779
(518) 562-7705
(518) 562-7706
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00608255
—
NY
Enumeration date
01/30/2007
Last updated
04/26/2012
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