James E Omohundro, MD | |
28 S Western Ave, Queensbury, NY 12804-3323 | |
(518) 798-6400 | |
(518) 798-4105 |
Full Name | James E Omohundro |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 28 S Western Ave, Queensbury, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487738175 | NPI | - | NPPES |
07545311 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 320054 (New York) | Primary |
Entity Name | Hudson Headwaters Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194738344 PECOS PAC ID: 7416861208 Enrollment ID: O20031117000239 |
Mailing Address | Practice Location Address |
---|---|
James E Omohundro, MD 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | James E Omohundro, MD 28 S Western Ave, Queensbury, NY 12804-3323 Ph: (518) 798-6400 |
Joel L Solomon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 28 S Western Ave, Queensbury, NY 12804 Phone: 518-798-6400 Fax: 518-798-4105 | |
Catherine A Delsignore, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 28 S Western Ave, Queensbury, NY 12804 Phone: 518-798-6400 Fax: 518-798-4105 | |
Irene R Flatau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 28 S Western Ave, Queensbury, NY 12804 Phone: 518-798-6400 Fax: 518-798-4105 | |
Elias A Socolof, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 28 S Western Ave, Queensbury, NY 12804 Phone: 518-798-6400 Fax: 518-798-4105 |