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

Hudson Headwaters Health Network

Organization Family Medicine Physician · NPI 1164998423

Hudson Headwaters Health Network is a Family Medicine Physician in Plattsburgh, New York. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3

Practice location Address checks out

87 Plaza Blvd
Plattsburgh, NY 12901-6438
Phone: (518) 536-7060
Fax: (518) 536-7075
Show map & directions

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
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X

Record details

NPI number1164998423
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHudson Headwaters Health Network
Authorized official Laura Pasco — Executive Vp, Cfo · (518) 761-0300
NPI enumeratedOctober 15, 2018
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing address9 Carey Rd, Queensbury, NY 12804-7880

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