Organization
ADIRONDACK CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM P TAMULAITIS D.C. (OWNER)
(518) 773-2000
Entity
Organization
Contact information
Practice address
230 5TH AVE EXT, GLOVERSVILLE, NY 12078-1820
(518) 773-2000
(518) 773-2663
Mailing address
230 5TH AVE EXT, GLOVERSVILLE, NY 12078-1820
(518) 773-2000
(518) 773-2663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005212
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51846B
MEDICARE P10
NY
Enumeration date
01/13/2009
Last updated
09/18/2014
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