ADIRONDACK INTERVENTIONAL PHYSIATRY PC NPI 1821166166

NPI Information

  • NPI: 1821166166
  • Provider Name: ADIRONDACK INTERVENTIONAL PHYSIATRY PC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Doing Business As: CHAMPLAIN SPINE & PAIN MGT
  • CLIA Number: 33D1094307
  • Address: 4 FEATHERS DR
    PLATTSBURGH, NY
    ZIP 12901
  • Phone: (518) 324-7246

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NPI Details

ADIRONDACK INTERVENTIONAL PHYSIATRY PC is an interventional pain medicine pain medicine in Plattsburgh, NY. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. ADIRONDACK INTERVENTIONAL PHYSIATRY PC NPI is 1821166166. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Champlain Spine & Pain Mgt.

The provider's business location address is:

4 FEATHERS DR
PLATTSBURGH, NY
ZIP 12901-461
Phone: (518) 324-7246
Fax: (518) 324-3366

The provider's authorized official is Thierry Bonnabesse .
The authorized official title is Owner/president and has the following contact phone number (518) 324-7246.

The CLIA number assigned to this NPI record is 33D1094307 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 5/7/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain Medicine231566NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00158767OTHERNEW YORKRAILROAD MEDICARE

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: 11/21/2025

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