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 1356355952

Hudson Headwaters Health Network is a Family Medicine Physician in Gansevoort, New York. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
9

Practice location Address checks out

1299 Route 9
Gansevoort, NY 12831-1560
Phone: (518) 761-6961
Fax: (518) 761-1006
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
Internal Medicine Physician Taxonomy 207R00000X
Nephrology Physician Taxonomy 207RN0300X
Pediatrics Physician Taxonomy 208000000X
Podiatrist Taxonomy 213E00000X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1356355952
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHudson Headwaters Health Network
Authorized official Laura Pasco — Executive Vp, Cfo · (518) 761-0300
NPI enumeratedJuly 28, 2006
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing address9 Carey Rd, Queensbury, NY 12804-7880

Other providers in Gansevoort