institution
Champlain Valley Vascular Surgery
Gerontology Nurse Practitioner in Plattsburgh, New York
NPI 1528208881

Champlain Valley Vascular Surgery is a Gerontology Nurse Practitioner based in Plattsburgh, NY and is specialized in Gerontology. Champlain Valley Vascular Surgery practices in Plattsburgh, NY. The NPI Number for Champlain Valley Vascular Surgery is 1528208881 and holds a License No. 203101-1 (New York).

The current practice location address for Champlain Valley Vascular Surgery is 24 Hammond Lane, Plattsburgh, NY and can be reached out via phone at 518-562-7557 and via fax at 518-562-7559.

Location: 24 Hammond Lane, Plattsburgh, NY, 12901
institution
Provider Profile Details
NPI Number
1528208881
Provider Name
Champlain Valley Vascular Surgery
Credential
Provider Entity Type
Organization
Address
24 Hammond Lane, Plattsburgh, NY, 12901
Phone Number
518-562-7557
Fax Number
518-562-7559
Provider Enumeration Date
02/26/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01972430 05 NY
04556089 05 NY
01276613 05 NY
institution
Provider Business Practice Location Address Details
Address
24 Hammond Lane
City
State
Zip
12901
Phone Number
518-562-7557
Fax Number
518-562-7559
person
Provider Business Mailing Address Details
Address
24 Hammond Lane
City
State
Zip
12901
Phone Number
518-562-7557
Fax Number
518-562-7559
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
187640-1 (New York)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
203101-1 (New York)
Definition
Definition to come...
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