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General NPI Number Information
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NPI Number | 1205787785
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Entity Type | Organization
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Legal Business Name | ADIRONDACK ELITE AESTHETICS PLLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 5111 N CATHERINE ST
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City | PLATTSBURGH
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State | NY
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Zip | 12901-3379
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Country | US
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Telephone | 518-420-8597
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Fax | 518-665-3346
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Provider Business Mailing Address
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Address Line | 5111 N CATHERINE ST
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City | PLATTSBURGH
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State | NY
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Zip | 12901-3379
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Country | US
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Telephone | 518-420-8597
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Fax | 518-665-3346
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Authorized Official
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Title or Position | OWNER
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Name | BRIDGET A MOLLOY
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Credential | NP
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Telephone | 518-420-8597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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