Hudson Headwaters Health Network | |
319 Broadway Fort Edward NY 12828-1221 | |
(518) 761-0300 | |
(518) 824-2318 |
Full Name | Hudson Headwaters Health Network |
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Speciality | Family Medicine |
Location | 319 Broadway, Fort Edward, New York |
Authorized Official Name and Position | Christopher Tournier (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5187610300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hudson Headwaters Health Network 9 Carey Rd Queensbury NY 12804-7880 Ph: (518) 761-0300 | Hudson Headwaters Health Network 319 Broadway Fort Edward NY 12828-1221 Ph: (518) 761-0300 |
NPI Number | 1679977714 |
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Provider Enumeration Date | 10/17/2014 |
Last Update Date | 10/17/2014 |
Identifier | Type | State | Issuer |
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1679977714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |