Organization
PLATTSBURGH ENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA POWELL MD (OWNER)
(518) 566-7930
Entity
Organization
Contact information
Practice address
79 HAMMOND LN STE 12, PLATTSBURGH, NY 12901-2008
(518) 566-7930
(518) 566-7932
Mailing address
164 BOYNTON AVE STE 306, PLATTSBURGH, NY 12901-1241
(518) 566-3074
(518) 566-7932
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05932430
—
NY
Enumeration date
06/20/2022
Last updated
06/21/2022
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