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NORTH COUNTRY FAMILY MEDICINE PLLC NPI 1184883555


NPI Information

NPI: 1184883555
Provider Name: NORTH COUNTRY FAMILY MEDICINE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D1087929

Address:
428 WASHINGTON ST
STE 4
WATERTOWN, NY
ZIP 13601
Phone: (315) 788-4880
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NORTH COUNTRY FAMILY MEDICINE PLLC is a family medicine in Watertown, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTH COUNTRY FAMILY MEDICINE PLLC NPI is 1184883555. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

428 WASHINGTON ST
STE 4
WATERTOWN, NY
ZIP 13601-832
Phone: (315) 788-4880
Fax: (315) 788-4896

The provider's authorized official is Jon A Emerton .
The authorized official title is Owner/director and has the following contact phone number (315) 788-4880.

The CLIA number assigned to this NPI record is 33D1087929 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 3/31/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine227318NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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