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Organization

FAMILY PRACTICE OF HUDSON FALLS, PC

Active
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Organization

FAMILY PRACTICE OF HUDSON FALLS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BONNIE L BALLWEBER (OFFICE MANAGER)
(518) 747-4117
Entity
Organization

Contact information

Practice address
340A MAIN ST, HUDSON FALLS, NY 12839-1530
(518) 747-4117
(518) 747-9837
Mailing address
340A MAIN STREET, HUDSON FALLS, NY 12839
(518) 747-4117
(518) 747-9837

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
08/29/2006
Last updated
03/08/2020
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