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

Hudson Mohawk Pediatric & Adolescent Medicine

Organization Specialist · NPI 1306950563

Hudson Mohawk Pediatric & Adolescent Medicine is a Specialist in Ballston Lake, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

318 Ruhle Rd S
Ballston Lake, NY 12019-1030
Phone: (518) 899-4133
Fax: (518) 899-5764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 107075 (NY)

Record details

NPI number1306950563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gayle Buckley — Owner/Physician · (518) 899-4133
NPI enumeratedAugust 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address318 Ruhle Rd S, Ballston Lake, NY 12019-1030

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