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

North Country Sports Medicine PLLC

Organization Orthopaedic Surgery Physician · NPI 1417211962

North Country Sports Medicine PLLC is an Orthopaedic Surgery Physician in Granville, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

79 N St
Granville, NY 12832-1137
Phone: (518) 793-9156
Fax: (518) 793-6591
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 189371 (NY)

Record details

NPI number1417211962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Baldwin — Practice Administrator · (518) 793-9156
NPI enumeratedJune 29, 2012
Last updated in NPPESJune 29, 2012
Mailing address25 Willowbrook Rd, Suite 2, Queensbury, NY 12804-5882