Organization
ADIRONDACK EMERGENCY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G KEENE M.D. (PRESIDENT AND CEO)
(518) 751-1016
Entity
Organization
Contact information
Practice address
52 SHOPRITE BLVD, ROUTE 209, ELLENVILLE, NY 12428-5632
(845) 647-6400
(845) 647-2076
Mailing address
30 PROSPECT AVE FL 1, C/O EMERGENCY TREATMENT ASSOCIATES, HUDSON, NY 12534-2908
(518) 751-1016
(518) 751-1020
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02375299
—
NY
Enumeration date
05/09/2006
Last updated
12/15/2009
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