Organization
ADIRONDACK PAIN MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE M JOHNSTON MD (CO-OWNER)
(315) 292-1264
Entity
Organization
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 266-0380
Mailing address
110 LOMOND CT, UTICA, NY 13502-5950
(315) 292-1264
(315) 266-0385
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
180710
NY
Other
Enumeration date
02/13/2006
Last updated
12/18/2018
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