Canton-Potsdam Medical Practice Pllc

LBN: Canton-Potsdam Medical Practice Pllc
Canton-Potsdam Medical Practice Pllc is an health care organization with primary practice located at 80 East Main Street , Canton NY 13617. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Canton-Potsdam Medical Practice Pllc can be contacted via phone (315) 265-3300, or through Rogers, Robert via phone (315) 261-6013.

Contact Information

Primary practice address
80 East Main Street Canton NY 13617
Phone: (315) 265-3300
Fax: (315) 261-6025
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Robert Doctor of Medicine (MD)
Phone: (315) 261-6013

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1760821417
LBN Legal business name Canton-Potsdam Medical Practice Pllc
DBA Doing business as
Authorized official Rogers, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2013
Last updated May 2nd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760821417 NPPES
New York Other J100093911 PTAN
New York MEDICAID 03652971 PTAN

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