Organization
ADIRONDACK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J LABA (CFO)
(518) 897-2301
Entity
Organization
Contact information
Practice address
114 WAWBEEK AVE, TUPPER LAKE, NY 12986-2038
(518) 359-3355
(518) 359-9055
Mailing address
114 WAWBEEK AVE, TUPPER LAKE, NY 12986-2038
(518) 359-3355
(518) 359-9055
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314145
—
NY
01
—
RA2859
PIN
NY
Enumeration date
08/09/2006
Last updated
07/19/2019
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