MEDICARE: ADIRONDACK MEDICAL ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CG7432	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881688273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADIRONDACK MEDICAL ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	52 MAPLE ST
Second Line	:
City	:	HUDSON FALLS
State	:	NY
Zip	:	12839-2015
Country	:	US
Telephone Number	:	518-746-1722
Fax Number	:	518-746-1704

Provider Business Practice Location Address
First Line	:	52 MAPLE ST
Second Line	:
City	:	HUDSON FALLS
State	:	NY
Zip	:	12839-2015
Country	:	US
Telephone Number	:	518-746-1722
Fax Number	:	518-746-1704

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTOPHER HOY
Credential	:	M.D.
Telephone Number	:	518-798-2871

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	11/01/2007

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