| Champlain Pain Relief And Neurology, Pllc | |
|
159 Margaret Street Suite 500 Plattsburgh NY 12901 | |
| (518) 566-8603 | |
| (518) 566-8582 |
| Full Name | Champlain Pain Relief And Neurology, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 159 Margaret Street, Plattsburgh, New York |
| Authorized Official Name and Position | Ellen Celeste Gaughan (OWNER) |
| Authorized Official Contact | 5185668603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champlain Pain Relief And Neurology, Pllc 159 Margaret Street Suite 500 Plattsburgh NY 12901 Ph: (518) 566-8603 | Champlain Pain Relief And Neurology, Pllc 159 Margaret Street Suite 500 Plattsburgh NY 12901 Ph: (518) 566-8603 |
| NPI Number | 1285763912 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285763912 | NPI | - | NPPES |
| 698338 | Other | NY | MVP |
| 130023170 | Other | NY | RRMCR |
| 2033749 | Other | NY | AETNA |
| P010213308 | Other | NY | EXCELLUS BC BS |
| 000495471003 | Other | NY | BLUE SHIELD OF NENY |
| 01998998 | Medicaid | NY | |
| 110639300 | Other | NY | USDOL |
| 8C1231 | Other | NY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 213308 (New York) | Primary |
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