Organization Name: | ADIRONDACK NEUROLOGY ASSOCIATES, PC |
NPI Number: | 1003291212 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | INGRID TANYA GUAY (PRACTICE MANAGER) |
Mailing Address: | 420 Glen St Glens Falls |
State: | NY US |
Postal Code: | 128012929 |
Phone Number: | 5187939155 |
Fax Number: | 5187936778 |
NPI Enumeration Date: | 07/29/2015 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F339376-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |