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NORTHEASTTELEMEDICINE
NPI 1942829759
General Practice in Diamond Point, NY

Active since April 11, 2020
483 COOLIDGE HILL RD, DIAMOND POINT, NY 12824(518) 260-1882 Get Directions Write a Review

NPPES record last updated: April 11, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Northeasttelemedicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEASTTELEMEDICINE (NPI 1942829759) is a healthcare organization registered as a general practice in Diamond Point, New York and active in the NPI registry since April 2020. The organization lists Thomas Gavin, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1942829759
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNORTHEASTTELEMEDICINE
Location Address483 COOLIDGE HILL RDDiamond Point, NY 12824
Mailing Address483 Coolidge Hill RdDiamond Point, NY 12824 · (518) 685-6032
Phone(518) 260-1882
Organization SubpartNo
Authorized OfficialThomas GavinPhysician Assistant · (518) 260-1882
Enumeration DateApril 11, 2020
NPPES CertifiedApril 11, 2020
✔ NPI 1942829759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
483 COOLIDGE HILL RD, Diamond Point, NY 12824
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeasttelemedicine's NPI number?

The NPI number for Northeasttelemedicine is 1942829759. It was assigned to this organization in the NPPES registry on April 11, 2020.

Where is Northeasttelemedicine located?

Northeasttelemedicine is located at 483 Coolidge Hill Rd, Diamond Point, NY 12824. The listed phone number is (518) 260-1882.

What is Northeasttelemedicine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Northeasttelemedicine was last updated on April 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.