Provider Demographics
NPI:1861585549
Name:ADIRONDACK NEUROLOGY ASSOCIATES, PC
Entity type:Organization
Organization Name:ADIRONDACK NEUROLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINODRAI
Authorized Official - Middle Name:MOTILAL
Authorized Official - Last Name:PARMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-793-9155
Mailing Address - Street 1:420 GLEN ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-2929
Mailing Address - Country:US
Mailing Address - Phone:518-793-9155
Mailing Address - Fax:518-793-6778
Practice Address - Street 1:420 GLEN ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-2929
Practice Address - Country:US
Practice Address - Phone:518-793-9155
Practice Address - Fax:518-793-6778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2014-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1742652084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty