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

Hudson Headwaters Health Network

Organization Pediatrics Physician · NPI 1376328153

Hudson Headwaters Health Network is a Pediatrics Physician in Plattsburgh, 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

25 Degrandpre Way
Plattsburgh, NY 12901-6449
Phone: (518) 824-2563
Fax: (833) 448-3030
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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
Pediatrics Physician Taxonomy 208000000X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1376328153
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHudson Headwaters Health Network
Authorized official Laura Pasco — Executive Vp, Cfo · (518) 761-0300
NPI enumeratedAugust 29, 2023
Last updated in NPPESFebruary 24, 2024
Certification dateFebruary 24, 2024
Mailing address9 Carey Rd, Queensbury, NY 12804-7880

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