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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013999820
NPI
NY
01
—
1083685465
NPI
NY
01
—
1336121516
NPI
NY
01
—
1871575605
NPI
NY
Enumeration date
08/29/2006
Last updated
03/08/2020
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