Organization
ADIRONDACK REHABILITATION MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD R JORGENSEN MD (MEMBER)
(518) 798-0767
Entity
Organization
Contact information
Practice address
17 MAIN ST, QUEENSBURY, NY 12804-4007
(518) 798-0767
(518) 798-0815
Mailing address
17 MAIN ST, QUEENSBURY, NY 12804-4007
(518) 798-0767
(518) 798-0815
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01902547
—
NY
Enumeration date
06/15/2006
Last updated
03/08/2010
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