Organization · Type 2 NPI

Adirondack Elite Aesthetics PLLC

Nurse Practitioner · Plattsburgh, NY

NPI number 1205787785 Active

Practice location

5111 N Catherine St
Plattsburgh, NY 12901-3379

Fax (518) 665-3346

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

About NPI 1205787785

Adirondack Elite Aesthetics PLLC's National Provider Identifier is 1205787785, issued on Feb 9, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plattsburgh, NY. The record was last updated on Feb 9, 2026.