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

Hudson Headwaters Health Network

Organization Family Medicine Physician · NPI 1003691064

Hudson Headwaters Health Network is a Family Medicine Physician in Malone, New York. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
6
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Practice location Address checks out

24 4th St
Malone, NY 12953-1350
Phone: (518) 824-2562
Fax: (833) 941-5091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1003691064
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHudson Headwaters Health Network
Authorized official Laura Pasco — Executive Vp, Finance & Cfo · (518) 761-0300
NPI enumeratedAugust 29, 2023
Last updated in NPPESMarch 7, 2026
Certification dateMarch 7, 2026
Mailing address9 Carey Rd, Queensbury, NY 12804-7880

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