# HUDSON HEADWATERS HEALTH NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184651317
- **Authorized official:** MICHELE A MEIER NPP (NURSE PRACTITIONER PSYCHIATRICS)
- **Authorized official phone:** (518) 761-0300

## Contact information

- **Practice address:** 100 BROAD ST, GLENS FALL, NY 12801
- **Practice address phone:** (518) 792-2223
- **Practice address fax:** (518) 792-8231
- **Mailing address:** 1 BROAD ST PLAZA, GLENS FALLS, NY 12801
- **Mailing address phone:** (518) 761-0300
- **Mailing address fax:** (518) 480-0116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F400974 | NY | Yes |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 08/22/2020