Organization · Type 2 NPI
Hudson Headwaters Health Network
Primary Care Clinic/Center · Tupper Lake, NY
NPI number
1174146898
Active
Practice location
7 Stetson Rd
Tupper Lake, NY 12986-2014
Fax (518) 359-7664
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
5 other providers at this address
- Darci Beiras, MDPediatrics Physician Tupper Lake, NY NPI 1003930470
- Dona Kilgore, DONA KILGORE, RPA-CPhysician Assistant Tupper Lake, NY NPI 1588976484
- Haley Mae Del Duca, FNP-CFamily Nurse Practitioner Tupper Lake, NY NPI 1932820917
- Jacqueline Corinne Snyder, PA-CPhysician Assistant Tupper Lake, NY NPI 1477653087
- Lisa M. O' Connor, PA-CPhysician Assistant Tupper Lake, NY NPI 1134115868
About NPI 1174146898
Hudson Headwaters Health Network's National Provider Identifier is 1174146898, issued on May 28, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Tupper Lake, NY. The record was last updated on Feb 23, 2024.