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

Champlain Valley Vascular Surgery

Organization Vascular Surgery Physician · NPI 1528208881

Champlain Valley Vascular Surgery is a Vascular Surgery Physician in Plattsburgh, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
4

Practice location Address checks out

24 Hammond Ln
Plattsburgh, NY 12901
Phone: (518) 562-7557
Fax: (518) 562-7559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 203101-1 (NY)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 187640-1 (NY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1528208881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Pabst — Ceo · (518) 562-7557
Other names Theodore S Pabst Iii
NPI enumeratedFebruary 26, 2009
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023
Mailing address24 Hammond Lane, Plattsburgh, NY 12901

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