Organization
ADIRONDACK PULMONARY MEDICINE,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURENDRA KUMAR NEVATIA M.D. (PRESIDENT)
(518) 793-9055
Entity
Organization
Contact information
Practice address
92 BROAD ST, GLENS FALLS, NY 12801-4383
(518) 793-9055
(518) 743-9418
Mailing address
92 BROAD ST, GLENS FALLS, NY 12801-4383
(518) 793-9055
(518) 743-9418
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
152775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01669525
—
NY
Enumeration date
04/03/2006
Last updated
01/08/2015
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