| Hudson Headwaters Health Network | |
|
1019 Wicker St Ticonderoga NY 12883-1039 | |
| (518) 761-0300 | |
| (518) 824-2318 |
| Full Name | Hudson Headwaters Health Network |
|---|---|
| Speciality | Family Medicine |
| Location | 1019 Wicker St, Ticonderoga, New York |
| Authorized Official Name and Position | Christopher Tournier (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5187610300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Headwaters Health Network 9 Carey Rd Queensbury NY 12804-7880 Ph: (518) 761-0300 | Hudson Headwaters Health Network 1019 Wicker St Ticonderoga NY 12883-1039 Ph: (518) 761-0300 |
| NPI Number | 1972907749 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972907749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hudson Headwaters Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1019 Wicker St, Ticonderoga, NY 12883 Phone: 518-745-5936 |