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

Northeasttelemedicine

Organization General Practice Physician · NPI 1942829759

Northeasttelemedicine is a General Practice Physician in Diamond Point, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

483 Coolidge Hill Rd
Diamond Point, NY 12824
Phone: (518) 260-1882
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1942829759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Gavin — Physician Assistant · (518) 260-1882
NPI enumeratedApril 11, 2020
Last updated in NPPESApril 11, 2020
Certification dateApril 11, 2020
Mailing address483 Coolidge Hill Rd, Diamond Point, NY 12824