Hudson Mohawk Pediatric & Adolescent Medicine
NPI #1306950563 in Ballston Lake, New York
Provider Information
- NPI Number
- 1306950563
- Entity Type
- Organization
- Organization Name
- Hudson Mohawk Pediatric & Adolescent Medicine
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 318 RUHLE RD S
- City
- Ballston Lake
- State
- New York
- ZIP Code
- 12019-1030
- Phone
- (518) 899-4133
Authorized Official
- Name
- DR. GAYLE B BUCKLEY, M.D.
- Title
- OWNER/PHYSICIAN
- Phone
- (518) 899-4133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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