institution
Hudson Headwaters Health Network
Federally Qualified Health Center (FQHC) in Ticonderoga, New York
NPI 1699056291

Hudson Headwaters Health Network is a Federally Qualified Health Center (FQHC) based in Queensbury, NY and is specialized in Federally Qualified Health Center (FQHC). Hudson Headwaters Health Network practices in Ticonderoga, NY. The NPI Number for Hudson Headwaters Health Network is 1699056291 and holds a License No. 5660200R (New York).

The current practice location address for Hudson Headwaters Health Network is 1019 Wicker St, Ticonderoga, NY and can be reached out via phone at 518-745-5936.

Location: 1019 Wicker St, Ticonderoga, NY, 12804-7880
institution
Provider Profile Details
NPI Number
1699056291
Provider Name
Hudson Headwaters Health Network
Credential
Provider Entity Type
Organization
Address
1019 Wicker St, Ticonderoga, NY, 12804-7880
Phone Number
518-745-5936
Fax Number
Provider Enumeration Date
09/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1019 Wicker St
City
State
Zip
12883-1039
Phone Number
518-745-5936
Fax Number
person
Provider Business Mailing Address Details
Address
1019 Wicker St
City
State
Zip
12883-1039
Phone Number
518-745-5936
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
5660200R (New York)
Definition
Definition to come...
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