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

Hudson Headwaters Health Network

Organization Physician Assistant · NPI 1154343168

Hudson Headwaters Health Network is a Physician Assistant in Indian Lake, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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Practice location Partly verified

Some contact details are missing from the federal record.

Main Street And Pelon Rd
Indian Lake, NY 12842-0684
Phone: (518) 648-5707
Fax: (518) 648-6160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6846 (NY)

Record details

NPI number1154343168
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHudson Headwaters Health Network
Authorized official Christopher Tournier — Chief Financial Officer · (518) 761-0300
NPI enumeratedJuly 25, 2006
Last updated in NPPESSeptember 17, 2010
Mailing address9 Carey Rd, Queensbury, NY 12804-7880

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