Organization
NORTHERN NEW YORK PHYSICIAN SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HERLIHY MD (OWNER-AUTH SIGNATORY)
(518) 745-5423
Entity
Organization
Contact information
Practice address
5 IRONGATE CTR, GLENS FALLS, NY 12801-3471
(518) 745-5423
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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