NPI

Clinton County

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2007-01-09
Last updated
2012-01-24

Specialties

Licenses

License NY
0952300N

Location

Practice location
16 Flynn Avenue
City
Plattsburgh NY
Postal code
12901-3797
Phone
(518) 563-0950

Organization contact

Name
MARTHA PEDULLA
Title
Comptroller
Phone
5185630950

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Plattsburgh, NY. 1,659 records in the public file.

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