Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adirondack Dermatology PC

Organization Dermatology Physician · NPI 1215003579

Adirondack Dermatology PC is a Dermatology Physician in Plattsburgh, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1753 Route 3 Adirondack Dermatology Pc
Plattsburgh, NY 12962
Phone: (518) 563-7546
Fax: (518) 562-5458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2016181 (NY)

Record details

NPI number1215003579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dejordy — President · (518) 563-7546
NPI enumeratedNovember 28, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1753 Route 3, Adirondack Dermatology Pc, Morrisonville, NY 12962

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