| Family Practice Of Hudson Falls, Pc | |
| 
					340a Main St Hudson Falls NY 12839-1530  | |
| (518) 747-4117 | |
| (518) 747-9837 | 
| Full Name | Family Practice Of Hudson Falls, Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 340a Main St, Hudson Falls, New York | 
| Authorized Official Name and Position | Bonnie L Ballweber (OFFICE MANAGER) | 
| Authorized Official Contact | 5187474117 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Family Practice Of Hudson Falls, Pc 340a Main Street Hudson Falls NY 12839 Ph: (518) 747-4117  | Family Practice Of Hudson Falls, Pc 340a Main St Hudson Falls NY 12839-1530 Ph: (518) 747-4117  | 
| NPI Number | 1386753119 | 
|---|---|
| Provider Enumeration Date | 08/29/2006 | 
| Last Update Date | 03/08/2020 | 
| Medicare PECOS PAC ID | 5799776993 | 
|---|---|
| Medicare Enrollment ID | O20040518000978 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386753119 | NPI | - | NPPES | 
| 1083685465 | Other | NY | NPI | 
| 1013999820 | Other | NY | NPI | 
| 1336121516 | Other | NY | NPI | 
| 1871575605 | Other | NY | NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | David L Foote | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1013999820 PECOS PAC ID: 5496746695 Enrollment ID: I20040524000092  | 
| Provider Name | Antonio Izzo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1720405863 PECOS PAC ID: 9436381480 Enrollment ID: I20140407001151  | 
Glens Falls Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Hudson Falls, NY 12839 Phone: 518-747-3376 Fax: 518-747-8745  | |
Adirondack Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Maple St, Hudson Falls, NY 12839 Phone: 518-746-1722 Fax: 518-746-1704  |