Organization
ADIRONDACK MEDICAL PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY FRANCIS POLITI M.D. (MEDICAL DIRECTOR)
(518) 643-8008
Entity
Organization
Contact information
Practice address
3384 RT 22, PERU, NY 12972
(518) 643-8008
Mailing address
3384 RT 22, PERU, NY 12972
(518) 643-8008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
162323-1
NY
363AM0700X
Medical Physician Assistant
006858-1
NY
363AM0700X
Medical Physician Assistant
009293-1
NY
363LF0000X
Family Nurse Practitioner
F331788
NY
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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