Hudson Headwaters Health Network
NPI #1699056291 in Ticonderoga, New York
Provider Information
- NPI Number
- 1699056291
- 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 - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 9, 2011
- Last Updated
- Nov 16, 2016
Practice Location
- Address
- 1019 WICKER ST
- City
- Ticonderoga
- State
- New York
- ZIP Code
- 12883-1039
- Phone
- (518) 745-5936
Authorized Official
- Name
- CHRISTOPHER TOURNIER
- Title
- CFO
- Phone
- (518) 761-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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