Provider Demographics
NPI:1831228642
Name:ADIRONDACK PSYCHIATRIC ASSOCIATES, P.C.
Entity type:Organization
Organization Name:ADIRONDACK PSYCHIATRIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:V
Authorized Official - Last Name:GITLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-566-6000
Mailing Address - Street 1:3 CUMBERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1850
Mailing Address - Country:US
Mailing Address - Phone:518-566-6000
Mailing Address - Fax:518-561-0674
Practice Address - Street 1:3 CUMBERLAND AVE
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1850
Practice Address - Country:US
Practice Address - Phone:518-566-6000
Practice Address - Fax:518-561-0674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2084P0800X2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty