Organization
ADIRONDACK HEALTH REGIONAL MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRWIN LIEB MD (CHIEF MEDICAL OFFICER)
(518) 897-2704
Entity
Organization
Contact information
Practice address
46 BROAD ST STE A, PLATTSBURGH, NY 12901-3301
(518) 566-9452
(518) 566-9831
Mailing address
2233 STATE ROUTE 86, ATTN: PROVIDER ENROLLMENT, SARANAC LAKE, NY 12983-5644
(518) 897-4725
(518) 897-2423
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04692302
—
NY
Enumeration date
11/09/2016
Last updated
09/10/2025
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