Organization · Type 2 NPI
Hudson Headwaters Health Network
Primary Care Clinic/Center · Salem, NY
NPI number
1982417119
Active
Practice location
1830 County Route 64
Salem, NY 12865-3404
Fax (833) 438-0104
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
- Anje C. Van Berckelaer, MDFamily Medicine Physician Salem, NY NPI 1174654479
- Jillian Elyse Herrington, PNPPediatric Nurse Practitioner Salem, NY NPI 1922451863
- Robert Southerland, MDFamily Medicine Physician Salem, NY NPI 1730613514
- Sarah E. Hyland, FNPFamily Nurse Practitioner Salem, NY NPI 1467126763
About NPI 1982417119
Hudson Headwaters Health Network's National Provider Identifier is 1982417119, issued on Jan 30, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Salem, NY. The record was last updated on Apr 13, 2025.