Plattsburgh Sports Medicine, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009992 Issued in NY

Legal business name

PLATTSBURGH SPORTS MEDICINE, PLLC

Practice address

33 Durkee St.
Plattsburgh, NY 12901-0268

Phone

(518) 324-1700

Fax

(518) 324-1710

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jonathan Gregory Mulholland, D.C.

Title

Managing Member

Phone

(518) 324-1700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356493761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2123",
            "address_2": "33 DURKEE ST.",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129010268",
            "telephone_number": "518-324-1700",
            "fax_number": "518-324-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DURKEE ST.",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129010268",
            "telephone_number": "518-324-1700",
            "fax_number": "518-324-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTSBURGH SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULHOLLAND",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "518-324-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.