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 1386657534

Hudson Headwaters Health Network is a Pediatrics Physician in Queensbury, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
4
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Practice location Address checks out

28 S Western Ave
Queensbury, NY 12804-3323
Phone: (518) 798-6400
Fax: (518) 798-4105
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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 (NY)
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Nurse Practitioner Taxonomy 363L00000X (NY)

Record details

NPI number1386657534
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHudson Headwaters Health Network
Authorized official Laura Pasco — Executive Vp, Cfo · (518) 761-0300
NPI enumeratedAugust 15, 2006
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing address9 Carey Rd, Queensbury, NY 12804-7880

Other providers in Queensbury