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Contact Information

HUDSON HEADWATERS HEALTH NETWORK
1448 RTE 9
SOUTH GLENS FALLS, NY12803
 Phone: 518-761-6961
 Fax: 518-761-1006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HUDSON HEADWATERS HEALTH NETWORK

NPI # 1346263290
LBN Legal business name HUDSON HEADWATERS HEALTH NETWORK
Authorized official ERIC BURTON - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # F334110
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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