Individual
SHAUN CUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6 HEARTS WAY, ADIRONDACK CARDIOLOGY, QUEENSBURY, NY 12804-5925
(518) 792-1233
(518) 792-6854
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALNG, GLENS FALLS, NY 12801-4413
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02626180
—
NY
Enumeration date
06/13/2005
Last updated
06/17/2021
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