Northeasttelemedicine
Organization Active NPI General Practice Physician · Diamond Point, NY
NPI 1942829759 · NPPES record last updated Apr 11, 2020
Key facts
- NPI
- 1942829759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- NORTHEASTTELEMEDICINE
- Practice address
- 483 Coolidge Hill Rd
Diamond Point, NY 12824 - Phone
- (518) 260-1882
- NPI assigned
- Apr 11, 2020
- Organization subpart
- No
Authorized official
- Name
- Thomas Gavin, PA
- Title
- Physician Assistant
- Phone
- (518) 260-1882
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
483 Coolidge Hill Rd
Diamond Point, NY 12824
Mailing address
483 Coolidge Hill Rd
Diamond Point, NY 12824
Phone (518) 685-6032
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | gmail.com | ||
| RESTful URL | gmail |
Other providers in Diamond Point, NY
- Beth Ann Callahan
- Anna Amelise Dufford
- Heather Cassaday Esget
- Paula Danielle Higgins
- Karen Gerber O'Carroll
- Janice K Pfau
All providers in Diamond Point, NY · General Practice Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.