Healthcare Provider Details

I. General information

NPI: 1962566406
Provider Name (Legal Business Name): PLATTSBURGH PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 BRIDGE STREET
PLATTSBURGH NY
12901
US

IV. Provider business mailing address

151 BRIDGE STREET
PLATTSBURGH NY
12901
US

V. Phone/Fax

Practice location:
  • Phone: 518-561-7337
  • Fax: 518-561-1335
Mailing address:
  • Phone: 518-561-7337
  • Fax: 518-561-1335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HAROLD H CHASKEY JR.
Title or Position: CEO MD
Credential: MD
Phone: 518-561-7337