# HUDSON HEADWATERS HEALTH NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HUDSON HEADWATERS HEALTH NETWORK
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972907749
- **Legal business name:** HUDSON HEADWATERS HEALTH NETWORK
- **Authorized official:** CHRISTOPHER TOURNIER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (518) 761-0300

## Contact information

- **Practice address:** 1019 WICKER ST, TICONDEROGA, NY 12883-1039
- **Practice address phone:** (518) 761-0300
- **Practice address fax:** (518) 824-2318
- **Mailing address:** 9 CAREY RD, QUEENSBURY, NY 12804-7880
- **Mailing address phone:** (518) 761-0300
- **Mailing address fax:** (518) 745-1378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2014
- **Last updated:** 10/22/2014