Organization · Type 2 NPI
Hudson Mohawk Pediatric & Adolescent Medicine
Specialist · Ballston Lake, NY
NPI number
1306950563
Active
Practice location
318 Ruhle Rd S
Ballston Lake, NY 12019-1030
Fax (518) 899-5764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 107075 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
About NPI 1306950563
Hudson Mohawk Pediatric & Adolescent Medicine's National Provider Identifier is 1306950563, issued on Aug 17, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ballston Lake, NY. The record was last updated on Aug 22, 2020.