North Country Sports Medicine Pllc

NPI 1013271550 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1013271550
Enumeration Date 06/29/2012
Last Updated 06/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LORI M LORI
Position PRACTICE ADMINISTRATOR
Phone (518) 793-9156
Fax (518) 793-6591
Practice Location
1019 WICKER ST
MOSES LUDINGTON HOSPITAL
TICONDEROGA NY, 12883-1039, US
Phone (518) 793-9156
Fax (518) 793-6591
Business Location
25 WILLOWBROOK RD
SUITE 2
QUEENSBURY NY, 12804-5882, US
Phone (518) 793-9156
Fax (518) 793-6591
Toxanomy
Taxonomy Code 207X00000X
License State New York
License Number 202796
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According to our database, North Country Sports Medicine Pllc NPI is 1013271550, taxonomy code is 207X00000X and license number is 202796, license state is located at New York. North Country Sports Medicine Pllc physically located at 1019 Wicker St, Ticonderoga NY, 12883-1039. NPI Number 1033115704 has the healthcare provider type.

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1013271550 NPI number is provided on an as is basis without warranty of any kind. 1013271550 is maintained by the National Plan & Provider Enumeration System. The contents of North Country Sports Medicine Pllc are for informational purposes only.