Hudson Headwaters Health Network
NPI #1952319386 in Ticonderoga, New York
Provider Information
- NPI Number
- 1952319386
- 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
- Aug 3, 2006
- Last Updated
- Feb 23, 2024
Practice Location
- Address
- 101 ADIRONDACK DR STE 2
- City
- Ticonderoga
- State
- New York
- ZIP Code
- 12883-9334
- Phone
- (518) 585-6708
Authorized Official
- Name
- LAURA PASCO
- Title
- EXECUTIVE VP, CFO
- Phone
- (518) 761-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Nutritionist |
| Family Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
| Pediatrics |
| Podiatrist |
| Nurse Practitioner |
| Advanced Practice Midwife |
| Physician Assistant |
| Clinic/Center - Primary Care — Primary Care |
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