LAKE CHAMPLAIN PHYSICIAN SERVICES NPI 1083915268

NPI Details

LAKE CHAMPLAIN PHYSICIAN SERVICES is an internal medicine in Plattsburgh, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LAKE CHAMPLAIN PHYSICIAN SERVICES NPI is 1083915268. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 CORNELIA ST
SUITE 303
PLATTSBURGH, NY
ZIP 12901-318
Phone: (518) 562-7541
Fax: (518) 562-7542

The provider's authorized official is Wouter Rietsema .
The authorized official title is President and has the following contact phone number (518) 562-7330.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 11/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: