Organization
ADIRONDACK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANN MUSCATELLO ATC (CERTIFIED ATHLETIC TRAINER)
(518) 359-2479
Entity
Organization
Contact information
Practice address
47 PARK ST, SUITE #1, TUPPER LAKE, NY 12986-1616
(518) 359-2479
Mailing address
254 STATE ROUTE 86, PAUL SMITHS, NY 12970-1801
(518) 327-5058
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2255A2300X
NY
Other
Enumeration date
03/20/2007
Last updated
06/13/2008
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