OrganizationActive
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NPI 1053880906 · Registered Nurse · Corinth, NY
Provider details
- NPI number
- 1053880906
- Entity type
- Organization
- Primary specialty
- Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Paul Byron, Clinic Director(518) 788-2693
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Smith Drive
Corinth, NY 12822
Phone: (518) 654-7680
Fax: (518) 654-7695
Street-level locationGet directions
Mailing address
200 Smith Drive
Corinth, NY 12822
Registry dates
- Enumerated
- 2018-11-21
- Last updated
- 2018-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.