| Hudson Headwaters Health Network | |
|
3767 Main St Warrensburg NY 12885-1890 | |
| (518) 623-2844 | |
| (518) 623-3416 |
| Full Name | Hudson Headwaters Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 3767 Main St, Warrensburg, New York |
| Authorized Official Name and Position | Laura Pasco (EXECUTIVE VP, CFO) |
| Authorized Official Contact | 5187610300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Headwaters Health Network 9 Carey Rd Queensbury NY 12804-7880 Ph: (518) 761-0300 | Hudson Headwaters Health Network 3767 Main St Warrensburg NY 12885-1890 Ph: (518) 623-2844 |
| NPI Number | 1194738344 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 7416861208 |
|---|---|
| Medicare Enrollment ID | O20031117000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194738344 | NPI | - | NPPES |
| 03289907 | Medicaid | NY |
| Provider Name | William J Byrne |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215918313 PECOS PAC ID: 0042202855 Enrollment ID: I20040416000973 |
| Provider Name | Mary Elizabeth Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659399962 PECOS PAC ID: 0143207779 Enrollment ID: I20040701001030 |
| Provider Name | James C Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316951072 PECOS PAC ID: 7517939754 Enrollment ID: I20040809001202 |
| Provider Name | Noelle M Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699789164 PECOS PAC ID: 6800887027 Enrollment ID: I20040816000921 |
| Provider Name | Pamela J Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538176508 PECOS PAC ID: 5193782225 Enrollment ID: I20041210000154 |
| Provider Name | Ephraim E Back |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649295254 PECOS PAC ID: 0547228009 Enrollment ID: I20041230000026 |
| Provider Name | Eugene J Mctiernan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912911835 PECOS PAC ID: 6709839954 Enrollment ID: I20050228000586 |
| Provider Name | Jean Ansari Flanagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396795118 PECOS PAC ID: 9234183344 Enrollment ID: I20050310000575 |
| Provider Name | Viqar A Qudsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326028259 PECOS PAC ID: 4385690775 Enrollment ID: I20050429000834 |
| Provider Name | Danielle K Goertzen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760575245 PECOS PAC ID: 2567491400 Enrollment ID: I20050810000952 |
| Provider Name | Jennifer L Stratton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487668968 PECOS PAC ID: 3274564323 Enrollment ID: I20050829000241 |
| Provider Name | Paul F Bachman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366456071 PECOS PAC ID: 4284648569 Enrollment ID: I20060126000423 |
| Provider Name | Michael S Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184663445 PECOS PAC ID: 3971515032 Enrollment ID: I20060612000031 |
| Provider Name | Kevin A Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194778464 PECOS PAC ID: 9335151273 Enrollment ID: I20060615000279 |
| Provider Name | Laurie J Gorgas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457384182 PECOS PAC ID: 0941206221 Enrollment ID: I20061010000219 |
| Provider Name | Julie K Steele-goodwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063596906 PECOS PAC ID: 0042219107 Enrollment ID: I20061219000212 |
| Provider Name | Sereena C Coombes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881665271 PECOS PAC ID: 8729028063 Enrollment ID: I20070306000521 |
| Provider Name | Alyson Blake Curry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396821609 PECOS PAC ID: 8921106865 Enrollment ID: I20070531000212 |
| Provider Name | Sean M Kennedy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417001025 PECOS PAC ID: 8921191776 Enrollment ID: I20070910000691 |
| Provider Name | M Christine Prell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477609691 PECOS PAC ID: 8224122585 Enrollment ID: I20070917000631 |
| Provider Name | Karen M Dague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700830346 PECOS PAC ID: 6406941012 Enrollment ID: I20070927000445 |
| Provider Name | Suzanne Hackert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962433169 PECOS PAC ID: 9335220292 Enrollment ID: I20080116000662 |
| Provider Name | Christina S Kay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659386472 PECOS PAC ID: 1254414519 Enrollment ID: I20080208000387 |
| Provider Name | Tanya Jean Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053596122 PECOS PAC ID: 5193802213 Enrollment ID: I20080414000178 |
| Provider Name | William M Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558522714 PECOS PAC ID: 0345300331 Enrollment ID: I20081120000584 |
| Provider Name | David Tucker Slingerland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215157235 PECOS PAC ID: 3274693205 Enrollment ID: I20081121000005 |
| Provider Name | James F Hindson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316196462 PECOS PAC ID: 6608936505 Enrollment ID: I20081122000006 |
| Provider Name | Karen E Mcshane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902864960 PECOS PAC ID: 9234295700 Enrollment ID: I20090309000097 |
| Provider Name | Atilla Kayalar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518958610 PECOS PAC ID: 1850398892 Enrollment ID: I20090821000413 |
| Provider Name | Philip J Gara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740278837 PECOS PAC ID: 5092859850 Enrollment ID: I20100217000116 |
| Provider Name | Colleen M Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861480956 PECOS PAC ID: 5698819233 Enrollment ID: I20100219000231 |
| Provider Name | Elizabeth K.b. Buck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790759017 PECOS PAC ID: 4587799531 Enrollment ID: I20100317000084 |
| Provider Name | Suzanne M Blood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831103555 PECOS PAC ID: 7113052937 Enrollment ID: I20100318000745 |
| Provider Name | John A Sawyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689688541 PECOS PAC ID: 2264567932 Enrollment ID: I20100319000356 |
| Provider Name | Alisa Markwith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811903891 PECOS PAC ID: 1052446655 Enrollment ID: I20100322000546 |
| Provider Name | Frances C Bollinger |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801800529 PECOS PAC ID: 7517092125 Enrollment ID: I20100322000640 |
| Provider Name | Elias A Socolof |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851305676 PECOS PAC ID: 6507991015 Enrollment ID: I20100322000741 |
| Provider Name | Irene Flatau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699783472 PECOS PAC ID: 9537296074 Enrollment ID: I20100415000030 |
| Provider Name | Timothy A Culliton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477567121 PECOS PAC ID: 3577690254 Enrollment ID: I20100429000180 |
| Provider Name | Brian Guadagno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922266261 PECOS PAC ID: 8820114697 Enrollment ID: I20100929000929 |
| Provider Name | Jennifer E Bashant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841411618 PECOS PAC ID: 3476745795 Enrollment ID: I20101005000955 |
| Provider Name | Bryan Smead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265446066 PECOS PAC ID: 8426241506 Enrollment ID: I20101021000437 |
| Provider Name | William M Borgos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932113669 PECOS PAC ID: 6406049410 Enrollment ID: I20101022000725 |
| Provider Name | Michael E. Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518071463 PECOS PAC ID: 5092909226 Enrollment ID: I20101102000729 |
| Provider Name | Thomas G Portuese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407055734 PECOS PAC ID: 3274728027 Enrollment ID: I20101108000030 |
| Provider Name | Howard E Silverberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134113590 PECOS PAC ID: 2769534593 Enrollment ID: I20101123000015 |
| Provider Name | Lynette M Biss |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558439695 PECOS PAC ID: 4486841632 Enrollment ID: I20101214000447 |
| Provider Name | Paul Vincent Rizzo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821005232 PECOS PAC ID: 6406035542 Enrollment ID: I20110121000561 |
| Provider Name | Michael J Celotti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982788824 PECOS PAC ID: 7517146939 Enrollment ID: I20110131000880 |
| Provider Name | Michelle M Kisiel-cohen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386651792 PECOS PAC ID: 8820277213 Enrollment ID: I20110201000751 |
| Provider Name | Aimee E Mcmaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932190402 PECOS PAC ID: 9537349410 Enrollment ID: I20110209000919 |
| Provider Name | Martin S Farber |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912999244 PECOS PAC ID: 4183807100 Enrollment ID: I20110329000001 |
| Provider Name | Richard J Portuese |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568776185 PECOS PAC ID: 3779768874 Enrollment ID: I20110505000545 |
| Provider Name | Suzanne R Fraser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053600130 PECOS PAC ID: 2860679784 Enrollment ID: I20110602000023 |
| Provider Name | Jamie Lin Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508806779 PECOS PAC ID: 4688851520 Enrollment ID: I20110602000164 |
| Provider Name | Jackie Schmidt Avery |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134225063 PECOS PAC ID: 1052591443 Enrollment ID: I20110921000512 |
| Provider Name | Karen L Marden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023381936 PECOS PAC ID: 4385806165 Enrollment ID: I20120425000144 |
| Provider Name | Judy A Podziewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043573058 PECOS PAC ID: 6002064748 Enrollment ID: I20120921000063 |
| Provider Name | Suzanne E Bergin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346478658 PECOS PAC ID: 3375796832 Enrollment ID: I20130111000133 |
| Provider Name | Margarita R De Federicis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932374600 PECOS PAC ID: 7911151923 Enrollment ID: I20130128000544 |
| Provider Name | Rosemary Vassallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235476532 PECOS PAC ID: 6305081175 Enrollment ID: I20130327000144 |
| Provider Name | Michael G Miles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649412982 PECOS PAC ID: 1456507623 Enrollment ID: I20130502000190 |
| Provider Name | Beverly H Symonds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124140702 PECOS PAC ID: 1850539990 Enrollment ID: I20130530000506 |
| Provider Name | Felicia A Heber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790123388 PECOS PAC ID: 0244472645 Enrollment ID: I20130814000979 |
| Provider Name | Yamilee A Jacques |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881823649 PECOS PAC ID: 5496997595 Enrollment ID: I20131122000688 |
| Provider Name | Jennifer L Donovan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710202544 PECOS PAC ID: 3678703584 Enrollment ID: I20140220000257 |
| Provider Name | Crystal E Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194166165 PECOS PAC ID: 7012148778 Enrollment ID: I20140321000063 |
| Provider Name | Diana M Sustar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659500825 PECOS PAC ID: 9537390141 Enrollment ID: I20140325000869 |
| Provider Name | Courtney B Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629489281 PECOS PAC ID: 1759506181 Enrollment ID: I20140627000442 |
| Provider Name | Eric W Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447541271 PECOS PAC ID: 2668699893 Enrollment ID: I20140813000030 |
| Provider Name | Kristin L Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447539507 PECOS PAC ID: 4789802299 Enrollment ID: I20140826000147 |
| Provider Name | Nicole B Cerklewich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871889105 PECOS PAC ID: 7012135064 Enrollment ID: I20140904001029 |
| Provider Name | Kenneth S France |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336427608 PECOS PAC ID: 9133349822 Enrollment ID: I20141001000052 |
| Provider Name | Rita L All |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003222159 PECOS PAC ID: 9739309048 Enrollment ID: I20141009001035 |
| Provider Name | Kyle S Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871886978 PECOS PAC ID: 1456571579 Enrollment ID: I20141013000291 |
| Provider Name | Jessica R Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255730552 PECOS PAC ID: 0749401354 Enrollment ID: I20141024000301 |
| Provider Name | Corinne M Robbins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174925259 PECOS PAC ID: 9234351503 Enrollment ID: I20141121000528 |
| Provider Name | Julie Lynn Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356584072 PECOS PAC ID: 1052633732 Enrollment ID: I20141208002164 |
| Provider Name | Gabriela E Diaz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982001947 PECOS PAC ID: 3476877838 Enrollment ID: I20150114000336 |
| Provider Name | Danielle R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699170480 PECOS PAC ID: 7214251537 Enrollment ID: I20150115000237 |
| Provider Name | Catherine Delsignore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639496417 PECOS PAC ID: 5193043511 Enrollment ID: I20150415002227 |
| Provider Name | Kristine Blais Alix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457757221 PECOS PAC ID: 3375856784 Enrollment ID: I20150714001962 |
| Provider Name | Sarah M Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063767408 PECOS PAC ID: 7517271166 Enrollment ID: I20150728003182 |
| Provider Name | Sean P Campanie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073999454 PECOS PAC ID: 4880902873 Enrollment ID: I20150924000587 |
| Provider Name | Thomas L Lusignan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447553730 PECOS PAC ID: 8022326230 Enrollment ID: I20151007001433 |
| Provider Name | Madison E Zuis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497135180 PECOS PAC ID: 3971812215 Enrollment ID: I20151027002361 |
| Provider Name | Denise N Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326416488 PECOS PAC ID: 4385954023 Enrollment ID: I20151109000455 |
| Provider Name | Ashley Elizabeth Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154711539 PECOS PAC ID: 1153627203 Enrollment ID: I20160315003031 |
| Provider Name | Cheryl A Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063416428 PECOS PAC ID: 6406145515 Enrollment ID: I20160512001900 |
| Provider Name | Elizabeth Maher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437185592 PECOS PAC ID: 6406146778 Enrollment ID: I20160531000208 |
| Provider Name | Mark A Quaresima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467896480 PECOS PAC ID: 3476845108 Enrollment ID: I20160715001512 |
| Provider Name | Lindsay C Ferraro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194003889 PECOS PAC ID: 0446545628 Enrollment ID: I20160826001677 |
| Provider Name | John T. Quaresima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750720371 PECOS PAC ID: 8022247071 Enrollment ID: I20160914000545 |
| Provider Name | Timothy M Duffy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750363487 PECOS PAC ID: 3577850973 Enrollment ID: I20160929000136 |
| Provider Name | Lia B Braico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336692722 PECOS PAC ID: 9133417934 Enrollment ID: I20161011002139 |
| Provider Name | Alexis Maria Mondella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417400177 PECOS PAC ID: 9335427905 Enrollment ID: I20161102001137 |
| Provider Name | Aimee B Clinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922553361 PECOS PAC ID: 9133408479 Enrollment ID: I20161109001817 |
| Provider Name | Krysta L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659757441 PECOS PAC ID: 2466733670 Enrollment ID: I20161230001187 |
| Provider Name | Samantha G Caruso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831390855 PECOS PAC ID: 8527340413 Enrollment ID: I20170130002094 |
| Provider Name | Suzanne L Laborde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144585704 PECOS PAC ID: 8628353711 Enrollment ID: I20170405000204 |
| Provider Name | Jamie Marie Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932324274 PECOS PAC ID: 0446527949 Enrollment ID: I20170606000098 |
| Provider Name | Amine F Gebremichael |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629394622 PECOS PAC ID: 8921321001 Enrollment ID: I20170717002286 |
| Provider Name | Ryan Michael Donnelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548671886 PECOS PAC ID: 3971805474 Enrollment ID: I20170720000205 |
| Provider Name | Heather J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134649486 PECOS PAC ID: 1355613175 Enrollment ID: I20170814002815 |
| Provider Name | Elizabeth Jane Cooney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699032136 PECOS PAC ID: 9830330109 Enrollment ID: I20170915000350 |
| Provider Name | Robert R Althoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275514713 PECOS PAC ID: 5799789020 Enrollment ID: I20170918001959 |
| Provider Name | Janine Nicole Gadjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992229595 PECOS PAC ID: 0648545186 Enrollment ID: I20171009002579 |
| Provider Name | Cheryl Marie Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871015370 PECOS PAC ID: 2264799568 Enrollment ID: I20171121002320 |
| Provider Name | Samantha Yvonne Harris |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881912418 PECOS PAC ID: 6800026451 Enrollment ID: I20180119001870 |
| Provider Name | Jessica R Nelson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255730552 PECOS PAC ID: 0749401354 Enrollment ID: I20180212002383 |
| Provider Name | Carly M Koelsch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083001853 PECOS PAC ID: 0749543171 Enrollment ID: I20180417000664 |
| Provider Name | Maleah M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285131003 PECOS PAC ID: 0648534065 Enrollment ID: I20180510000711 |
| Provider Name | Cassie Elaine Leonard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144415779 PECOS PAC ID: 9830368521 Enrollment ID: I20180719002472 |
| Provider Name | Trudy Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487101101 PECOS PAC ID: 5698022408 Enrollment ID: I20180725002472 |
| Provider Name | Kimberly Dawn Alger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689164352 PECOS PAC ID: 8921357195 Enrollment ID: I20180821002464 |
| Provider Name | Jeremy Andrew Di Bari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700267697 PECOS PAC ID: 2163772922 Enrollment ID: I20180829002342 |
| Provider Name | Olivia Mae Maxam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568941532 PECOS PAC ID: 2567713886 Enrollment ID: I20180926002049 |
| Provider Name | Jocelyn Paige Edens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841712270 PECOS PAC ID: 4284907825 Enrollment ID: I20181010002665 |
| Provider Name | Dawn Marie Ashline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255814844 PECOS PAC ID: 3577816347 Enrollment ID: I20181024001163 |
| Provider Name | Janet M Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780174516 PECOS PAC ID: 5193079580 Enrollment ID: I20181123000096 |
| Provider Name | Loren M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770068371 PECOS PAC ID: 1658615281 Enrollment ID: I20181207001169 |
| Provider Name | Daniela L Andrade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376922146 PECOS PAC ID: 9739424284 Enrollment ID: I20190102002785 |
| Provider Name | Eric M Decelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003296435 PECOS PAC ID: 1850631920 Enrollment ID: I20190327002814 |
| Provider Name | Nicole A Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730661000 PECOS PAC ID: 5890037139 Enrollment ID: I20190507000612 |
| Provider Name | David F Ellsworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437505088 PECOS PAC ID: 5890087886 Enrollment ID: I20190729002758 |
| Provider Name | Alison S Nemeti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437508702 PECOS PAC ID: 5395072151 Enrollment ID: I20190816000940 |
| Provider Name | Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669032470 PECOS PAC ID: 5496083545 Enrollment ID: I20190827003152 |
| Provider Name | Aaron Esterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023469319 PECOS PAC ID: 8022302470 Enrollment ID: I20190930002376 |
| Provider Name | Nicole Elizabeth Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609427293 PECOS PAC ID: 2062744642 Enrollment ID: I20191031001244 |
| Provider Name | Nicholas J Montello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184285751 PECOS PAC ID: 0941632020 Enrollment ID: I20191111001703 |
| Provider Name | Brianna Degregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538565700 PECOS PAC ID: 0547694200 Enrollment ID: I20200106001226 |
| Provider Name | Lisa M Woolfe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447390976 PECOS PAC ID: 9133425002 Enrollment ID: I20200120000389 |
| Provider Name | Savanna Rose West |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326678780 PECOS PAC ID: 7719318583 Enrollment ID: I20200511002534 |
| Provider Name | Patricia Kathryn Monroe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336113471 PECOS PAC ID: 7214062264 Enrollment ID: I20200728003274 |
| Provider Name | Kasuni Kotelawala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801327119 PECOS PAC ID: 8224377817 Enrollment ID: I20200827001855 |
| Provider Name | Nicole Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356871909 PECOS PAC ID: 1850660747 Enrollment ID: I20200827003230 |
| Provider Name | Andrea Grace Hennessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184242661 PECOS PAC ID: 8820415292 Enrollment ID: I20200831001375 |
| Provider Name | Chelsey Jane Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821606880 PECOS PAC ID: 5193143584 Enrollment ID: I20200917000126 |
| Provider Name | Ruth Rhiannon Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922625342 PECOS PAC ID: 4385063437 Enrollment ID: I20200923002121 |
| Provider Name | Lauren A Winn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740700012 PECOS PAC ID: 3577982578 Enrollment ID: I20200924001200 |
| Provider Name | Robert Southerland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730613514 PECOS PAC ID: 7810240181 Enrollment ID: I20201026001432 |
| Provider Name | Elizabeth A Bessette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316570948 PECOS PAC ID: 3678983004 Enrollment ID: I20201113000564 |
| Provider Name | Briana Jean Balch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700499167 PECOS PAC ID: 3476964362 Enrollment ID: I20201125000963 |
| Provider Name | Adrianna Nicole Earl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174043509 PECOS PAC ID: 4385056282 Enrollment ID: I20201217002647 |
| Provider Name | Ashley A Kleinerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649878729 PECOS PAC ID: 9638581358 Enrollment ID: I20201221002331 |
| Provider Name | Alida M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902379688 PECOS PAC ID: 0244642940 Enrollment ID: I20201222002935 |
| Provider Name | Margaret Rand Farrell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932792884 PECOS PAC ID: 3274940952 Enrollment ID: I20210324002182 |
| Provider Name | Salam Hawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851886451 PECOS PAC ID: 4486057981 Enrollment ID: I20210721002384 |
| Provider Name | Nathalie Abisror |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336634922 PECOS PAC ID: 5294138715 Enrollment ID: I20210721002926 |
| Provider Name | Ayresleigh Rowland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659769099 PECOS PAC ID: 2961776786 Enrollment ID: I20210728003268 |
| Provider Name | Rebecca Gem Heywood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346876885 PECOS PAC ID: 9931505104 Enrollment ID: I20210914001061 |
| Provider Name | Julia M Kleene |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255795332 PECOS PAC ID: 8527305895 Enrollment ID: I20210922003443 |
| Provider Name | Samantha Dawn Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508533951 PECOS PAC ID: 9335547546 Enrollment ID: I20211001001100 |
| Provider Name | Nicole Marie Bennett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366118986 PECOS PAC ID: 3274921846 Enrollment ID: I20211101001996 |
| Provider Name | Christina A Gallus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033557210 PECOS PAC ID: 1557754447 Enrollment ID: I20220217002167 |
| Provider Name | Kristin L Cassevah-pond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891432704 PECOS PAC ID: 8426437013 Enrollment ID: I20220628003015 |
| Provider Name | Elizabeth Glory Mcandrew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114418712 PECOS PAC ID: 5092054684 Enrollment ID: I20220810001900 |
| Provider Name | Rachelle A Grad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265093603 PECOS PAC ID: 6507249695 Enrollment ID: I20220823001957 |
| Provider Name | Daniel F Farrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609435007 PECOS PAC ID: 0244565885 Enrollment ID: I20220823002316 |
| Provider Name | Holly E Bachilas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750940151 PECOS PAC ID: 9638404296 Enrollment ID: I20220824002058 |
| Provider Name | Tara M Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922732114 PECOS PAC ID: 4587049978 Enrollment ID: I20220921002484 |
| Provider Name | Jennifer Rutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396307435 PECOS PAC ID: 9335475912 Enrollment ID: I20220922002592 |
| Provider Name | Kailene Leila Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558096057 PECOS PAC ID: 7214303791 Enrollment ID: I20221025002062 |
| Provider Name | Laurie O'connell Eamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548215494 PECOS PAC ID: 2163890492 Enrollment ID: I20221117002446 |
| Provider Name | Tyler Leigh Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851028682 PECOS PAC ID: 6002284759 Enrollment ID: I20221130001431 |
| Provider Name | Sobia A Qudsi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407810740 PECOS PAC ID: 2163893314 Enrollment ID: I20230125002944 |
| Provider Name | James E Omohundro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487738175 PECOS PAC ID: 2264431378 Enrollment ID: I20230216001736 |
| Provider Name | Martha Kathleen Passino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356511174 PECOS PAC ID: 1355716994 Enrollment ID: I20230412001375 |
| Provider Name | Hilary N Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215402219 PECOS PAC ID: 4789013863 Enrollment ID: I20230721000689 |
| Provider Name | Erin Down Thompson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1952938490 PECOS PAC ID: 2466813282 Enrollment ID: I20230726002533 |
| Provider Name | Elisia K Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245923515 PECOS PAC ID: 0143682369 Enrollment ID: I20230818002145 |
| Provider Name | Abigail Alexis Matuszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316625775 PECOS PAC ID: 4587026695 Enrollment ID: I20230821003159 |
| Provider Name | Anna Aleksandrovna Wernau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922783802 PECOS PAC ID: 7416319546 Enrollment ID: I20230821004050 |
| Provider Name | Christina Marie Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366122285 PECOS PAC ID: 0345603445 Enrollment ID: I20230822003065 |
| Provider Name | Heather Jane Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184308355 PECOS PAC ID: 1658734660 Enrollment ID: I20230823003777 |
| Provider Name | Madison Mckenna Barrett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417649047 PECOS PAC ID: 3173978731 Enrollment ID: I20231017002273 |
| Provider Name | Lindsay Marie Swan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952186439 PECOS PAC ID: 4880041961 Enrollment ID: I20231110001794 |
| Provider Name | Jaclyn A Farrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093593485 PECOS PAC ID: 2769830488 Enrollment ID: I20231118000355 |
| Provider Name | Samantha Santy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023897626 PECOS PAC ID: 4587013180 Enrollment ID: I20231207003147 |
| Provider Name | Arianne Jean Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770111288 PECOS PAC ID: 4183049091 Enrollment ID: I20231208003011 |
| Provider Name | April B Worlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518251727 PECOS PAC ID: 0749630788 Enrollment ID: I20240103001081 |
Hudson Headwaters Health Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3767 Main St, Warrensburg, NY 12885 Phone: 518-623-2844 Fax: 518-623-3416 |