| 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 |
|---|---|
| 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 |
Jessica Marie Hassan, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 28 S Western Ave, Queensbury, NY 12804 Phone: 518-798-6400 Fax: 518-798-4105 | |
Joel L Solomon, MD Pediatrics Medicare: Not Enrolled in Medicare 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 |