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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
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 761-0300
(518) 824-2388
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 824-2388

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
206339
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02558203
NY
Enumeration date
09/29/2009
Last updated
02/23/2024
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