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Organization

HUDSON HEADWATERS HEALTH NETWORK

Active
Parent organization
HUDSON HEADWATERS HEALTH NETWORK
Organization subpart
Yes

Provider details

NPI number
Legal business name
HUDSON HEADWATERS HEALTH NETWORK
Authorized official
LAURA PASCO (EXECUTIVE VP, 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
207Q00000X
Family Medicine Physician
NY
207R00000X
Internal Medicine Physician
NY
207RC0000X
Cardiovascular Disease Physician
NY
207V00000X
Obstetrics & Gynecology Physician
NY
207X00000X
Orthopaedic Surgery Physician
NY
207Y00000X
Otolaryngology Physician
NY
208000000X
Pediatrics Physician
NY
213E00000X
Podiatrist
NY
261QF0400X
Federally Qualified Health Center (FQHC)
261QP2300X
Primary Care Clinic/Center
Primary
261QU0200X
Urgent Care Clinic/Center
NY
363A00000X
Physician Assistant
NY
363L00000X
Nurse Practitioner
NY
367A00000X
Advanced Practice Midwife
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03289907
NY
Enumeration date
08/15/2006
Last updated
02/23/2024
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