North Country Sports Medicine Pllc

NPI #1417211962 in Granville, New York

Provider Information

NPI Number: 1417211962
Entity Type: Organization
Organization Name: North Country Sports Medicine Pllc
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jun 29, 2012
Last Updated: Jun 29, 2012

Practice Location

Address: 79 NORTH ST
City: Granville
State: New York
ZIP Code: 12832-1137
Phone: (518) 793-9156

Authorized Official

Name: LORI BALDWIN
Title: PRACTICE ADMINISTRATOR
Phone: (518) 793-9156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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