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

Mountain Medical Pediatrics

Organization Specialist · NPI 1821210352

Mountain Medical Pediatrics is a Specialist in Saranac Lake, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

1927 Saranac Ave
Saranac Lake, NY 12983
Phone: (518) 523-7575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 236345 (NY)

Record details

NPI number1821210352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keri Wallace — M.D. · (518) 523-7575
NPI enumeratedMay 3, 2007
Last updated in NPPESFebruary 18, 2008
Mailing address1927 Saranac Ave, Saranac Lake, NY 12983

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