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

Champlain Valley Gastroenterlogy PC

Organization Gastroenterology Physician · NPI 1912075250

Champlain Valley Gastroenterlogy PC is a Gastroenterology 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

164 Boynton Ave Ste 5
Plattsburgh, NY 12901
Phone: (518) 324-7920
Fax: (518) 324-7922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 220526 (NY)

Record details

NPI number1912075250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Gretz — Owner · (518) 324-7920
NPI enumeratedDecember 4, 2006
Last updated in NPPESMarch 12, 2015
Mailing address164 Boynton Avenue, Suite 5, Plattsburgh, NY 12901

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