Organization
HUDSON HEADWATERS HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TOURNIER (EXECUTIVE VP OF FINANCE / CFO)
(518) 761-0300
Entity
Organization
Contact information
Practice address
3767 MAIN ST, WARRENSBURG, NY 12885-1890
(518) 623-2844
(518) 623-3416
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 824-2388
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NY
122300000X
Dentist
—
NY
133N00000X
Nutritionist
—
NY
207Q00000X
Family Medicine Physician
—
NY
207R00000X
Internal Medicine Physician
—
NY
207V00000X
Obstetrics & Gynecology Physician
—
NY
208000000X
Pediatrics Physician
—
NY
208100000X
Physical Medicine & Rehabilitation Physician
—
NY
213E00000X
Podiatrist
—
NY
261QF0400X
Federally Qualified Health Center (FQHC)
5660200R
NY
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
NY
363L00000X
Nurse Practitioner
—
NY
367A00000X
Advanced Practice Midwife
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00630039
—
NY
Enumeration date
08/11/2006
Last updated
01/31/2020
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