Provider Demographics
NPI:1487103842
Name:ADIRONDACK ASSIST, LLC
Entity type:Organization
Organization Name:ADIRONDACK ASSIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-578-4497
Mailing Address - Street 1:96 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1709
Mailing Address - Country:US
Mailing Address - Phone:518-310-3272
Mailing Address - Fax:518-314-6400
Practice Address - Street 1:96 MILLER ST
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1709
Practice Address - Country:US
Practice Address - Phone:518-310-3272
Practice Address - Fax:518-314-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY39592343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)