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General NPI Number Information
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NPI Number | 1689074650
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Entity Type | Organization
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Legal Business Name | ADIRONDACK GASTROINTESTINAL AND COLORECTAL SURGERY PLLC
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 2249 STATE ROUTE 86 STE 2
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City | SARANAC LAKE
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State | NY
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Zip | 12983-5644
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Country | US
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Telephone | 518-793-9820
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Fax | 518-793-7517
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Provider Business Mailing Address
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Address Line | 2249 STATE ROUTE 86 STE 2
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City | SARANAC LAKE
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State | NY
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Zip | 12983-5644
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Country | US
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Telephone | 518-793-9820
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Fax | 518-793-7517
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADAM J ABODEELY
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Credential | MD
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Telephone | 518-354-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 257000
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License Number State | NY
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