Gouverneur Pediatrics,pc

NPI #1306917687 in Gouverneur, New York

Provider Information

NPI Number: 1306917687
Entity Type: Organization
Organization Name: Gouverneur Pediatrics,pc
Primary Specialty: Specialist
Enumeration Date: Nov 10, 2006
Last Updated: Jul 31, 2007

Practice Location

Address: 77 W BARNEY ST
Address 2: PHYSICIAN BLDG. STE.C
City: Gouverneur
State: New York
ZIP Code: 13642-1040
Phone: (315) 287-4440

Authorized Official

Name: DR. DONALD C SCHUESSLER JR., M.D.
Title: PRESIDENT OF PROF.CORPORATION
Phone: (315) 287-4440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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