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 1982417119

Hudson Headwaters Health Network is a Family Medicine Physician in Salem, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6

Practice location Address checks out

1830 County Route 64
Salem, NY 12865-3404
Phone: (518) 824-2571
Fax: (833) 438-0104
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
Pediatrics Physician Taxonomy 208000000X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1982417119
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHudson Headwaters Health Network
Authorized official Laura Pasco — Executive Vp, Cfo · (518) 761-0300
NPI enumeratedJanuary 30, 2025
Last updated in NPPESApril 13, 2025
Certification dateApril 13, 2025
Mailing address9 Carey Rd, Queensbury, NY 12804-7880

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