Hudson Headwaters Health Network
Hudson Headwaters Health Network is a Family Medicine Physician in Bolton Landing, New York. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
11 Cross StBolton Landing, NY 12814-0539
Phone: (518) 644-9471
Fax: (518) 644-2915
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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 |
| Federally Qualified Health Center (FQHC) | Taxonomy 261QF0400X |
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1295758423 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Hudson Headwaters Health Network |
| Authorized official | Laura Pasco — Executive Vp, Cfo · (518) 761-0300 |
| NPI enumerated | July 26, 2006 |
| Last updated in NPPES | February 23, 2024 |
| Certification date | February 23, 2024 |
| Mailing address | 9 Carey Rd, Queensbury, NY 12804-7880 |
Other providers in Bolton Landing
-
Ryan Michael Donnelly, DO
11 Cross St, Bolton Landing, NY 12814-0539 · (518) 644-9471
-
Bryan Smead, MD
11 Cross St, Bolton Landing, NY 12814-0539 · (518) 644-9471