Hudson Headwaters Health Network
NPI #1548276801 in Indian Lake, New York
Provider Information
- NPI Number
- 1548276801
- Entity Type
- Organization
- Organization Name
- Hudson Headwaters Health Network
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HUDSON HEADWATERS HEALTH NETWORK
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Feb 23, 2024
Practice Location
- Address
- 6356 NYS ROUTE 30
- City
- Indian Lake
- State
- New York
- ZIP Code
- 12842-2021
- Phone
- (518) 648-5707
Authorized Official
- Name
- LAURA PASCO
- Title
- EXECUTIVE VP, CFO
- Phone
- (518) 761-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
| Physician Assistant |
| Nurse Practitioner - Women's Health — Women's Health |
| Clinic/Center - Primary Care — Primary Care |
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