Organization
LITTLE FALLS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES VIELKIND (CHIEF FINANCIAL OFFICER)
(315) 823-5281
Entity
Organization
Contact information
Practice address
140 BURWELL ST, LITTLE FALLS, NY 13365-1725
(315) 823-5281
(315) 823-5383
Mailing address
140 BURWELL ST, LITTLE FALLS, NY 13365-1725
(315) 823-5281
(315) 823-5383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
211649
NY
207Q00000X
Family Medicine Physician
219951
NY
207QA0505X
Adult Medicine Physician
122476
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
170400
NY
208600000X
Surgery Physician
122476
NY
363LF0000X
Family Nurse Practitioner
F331459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310870
—
NY
Enumeration date
02/12/2007
Last updated
05/07/2008
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