Organization
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
Active
Other names
CVPH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LEBEAU (PRESIDENT)
(518) 562-7055
Entity
Organization
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 561-2000
(518) 314-3981
Mailing address
PO BOX 2868, PLATTSBURGH, NY 12901-0259
(518) 561-2000
(518) 561-0881
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02205434
—
NY
Enumeration date
12/13/2006
Last updated
02/17/2024
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