Provider Demographics
NPI:1942307020
Name:ADIRONDACK ORTHOPEDIC PHYSICIANS & SURGEONS PC
Entity Type:Organization
Organization Name:ADIRONDACK ORTHOPEDIC PHYSICIANS & SURGEONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:STURIES
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-793-5601
Mailing Address - Street 1:102 PARK STREET PRUYN PAVILION - LOWER LEVEL
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4403
Mailing Address - Country:US
Mailing Address - Phone:518-793-5601
Mailing Address - Fax:518-793-5916
Practice Address - Street 1:102 PARK STREET PRUYN PAVILION - LOWER LEVEL
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4403
Practice Address - Country:US
Practice Address - Phone:518-793-5601
Practice Address - Fax:518-793-5916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207X00000X
207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty