Organization
GREAT NORTH WOODS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REINIER F ULTEE MD (PRESIDENT)
(518) 561-1322
Entity
Organization
Contact information
Practice address
23 HAMMOND LN, PLATTSBURGH, NY 12901-2000
(518) 561-1322
(518) 561-3420
Mailing address
23 HAMMOND LN, PLATTSBURGH, NY 12901-2000
(518) 561-1322
(518) 561-3420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
166346
NY
Other
Enumeration date
05/10/2006
Last updated
08/22/2020
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