Organization
ADIRONDACK INTERNAL MEDICINE & PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN D BECKER (ADMINISTRATOR)
(518) 891-3845
Entity
Organization
Contact information
Practice address
2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY 12983-5644
(518) 891-3845
(518) 891-1236
Mailing address
2249 STATE ROUTE 86, SUITE 3, SARANAC LAKE, NY 12983-5644
(518) 891-3845
(518) 891-1236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00642448
—
NY
Enumeration date
02/14/2006
Last updated
11/04/2015
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