Organization · Type 2 NPI

Hudson Headwaters Health Network

Primary Care Clinic/Center · Gansevoort, NY

NPI number 1356355952 Active

Practice location

1299 Route 9
Gansevoort, NY 12831-1560

Fax (518) 761-1006

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Nephrology Physician 207RN0300XNone listed
Pediatrics Physician 208000000XNone listed
Podiatrist 213E00000XNone listed
Federally Qualified Health Center (FQHC) 261QF0400XNone listed
Primary Care Clinic/Center Primary 261QP2300XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Primary Care Clinic/Center: Definition to come...

15 other providers at this address

About NPI 1356355952

Hudson Headwaters Health Network's National Provider Identifier is 1356355952, issued on Jul 28, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Gansevoort, NY. The record was last updated on Feb 23, 2024.