Hudson Headwaters Health Network
Clinic/Center, Primary Care in Queensbury, NY. Organization (NPI-2).
NPI number1013292002
StatusActive
Last updated in NPPESFeb 23, 2024
Details
- NPI
- 1013292002
- Entity type
- Organization (NPI-2)
- Legal business name
- Hudson Headwaters Health Network
- Organization subpart
- Yes
- Enumeration date
- Oct 21, 2011
- Certification date
- Feb 23, 2024
- Last updated
- Feb 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 207PS0010X | Emergency Medicine, Sports Medicine | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | |
| 207RN0300X | Internal Medicine, Nephrology | – | – | |
| 207RR0500X | Internal Medicine, Rheumatology | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 2086S0129X | – | – | ||
| 213E00000X | Podiatrist | – | – | |
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | 5660200R | NY | |
| 363A00000X | Physician Assistant | – | – |
Practice location
161 Carey RdQueensbury, NY 12804-7821
Phone 518-824-8610 · Fax 518-824-2390
Mailing address
9 Carey RdQueensbury, NY 12804-7880
Phone 518-761-0300 · Fax 518-824-2388
Authorized official
Laura Pasco
Executive Vp, Cfo
5187610300
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