Organization
ADIRONDACK DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DEJORDY MD (PRESIDENT)
(518) 563-7546
Entity
Organization
Contact information
Practice address
1753 ROUTE 3, ADIRONDACK DERMATOLOGY PC, PLATTSBURGH, NY 12962
(518) 563-7546
(518) 562-5458
Mailing address
1753 ROUTE 3, ADIRONDACK DERMATOLOGY PC, MORRISONVILLE, NY 12962
(518) 563-7546
(518) 562-5458
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2016181
NY
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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