HUDSON HEADWATERS HEALTH NETWORK (NPI# 1629472493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629472493 |
| Entity Type | Organization |
| Organization Name | HUDSON HEADWATERS HEALTH NETWORK |
| Practice Address |
170 Warren St Glens Falls NY 12801-4525 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5187610300 |
| Practice Fax Number | 5188242318 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5187451378 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | CHRISTOPHER TOURNIER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5187610300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528611084 | Hudson Headwaters Health Network | Clinic/Center | 27 Hyland Dr, Lake Luzerne, NY 12846-3923 | 2019-07-23 |
| 1780030908 | Hudson Headwaters Health Network | Clinic/Center | 1 Glen St, Glens Falls, NY 12801-4439 | 2016-05-06 |
| 1427452200 | Hudson Headwaters Health Network | Family Medicine | 353 Schroon River Rd, Warrensburg, NY 12885-4807 | 2014-10-22 |
| 1386657534 | Hudson Headwaters Health Network | Nurse Practitioner | 28 S Western Ave, Queensbury, NY 12804-3323 | 2006-08-15 |
| 1952319386 | Hudson Headwaters Health Network | Social Worker | 101 Adirondack Drive, Suite 2, Ticonderoga, NY 12883 | 2006-08-03 |
| 1073529301 | Hudson Headwaters Health Network | Dentist | 3761 Main St, Warrensburg, NY 12885-1837 | 2006-07-31 |
| 1548276801 | Hudson Headwaters Health Network | Family Medicine | 6356 Nys Route 30, Indian Lake, NY 12842-2021 | 2006-07-31 |
| 1356355952 | Hudson Headwaters Health Network | Family Medicine | 1299 Route 9, Gansevoort, NY 12831-1560 | 2006-07-28 |
| 1295758423 | Hudson Headwaters Health Network | Family Medicine | 11 Cross St, Bolton Landing, NY 12814-0539 | 2006-07-26 |
| 1609899848 | Hudson Headwaters Health Network | Social Worker | 6223 State Route 9, Chestertown, NY 12817-2823 | 2006-07-26 |
| Street Address |
170 WARREN ST |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396795118 | Jean Ansari Flanagan | Family Medicine | 170 Warren St, Glens Falls, NY 12801-4525 | 2006-05-11 |
| 1710367784 | Jenifer Tilley | Occupational Therapist | 170 Warren St, Glens Falls, NY 12801-4525 | 2015-06-04 |
| 1053708321 | Renee Varney | Occupational Therapist | 170 Warren St, Glens Falls, NY 12801-4525 | 2015-04-23 |
| 1255723078 | Andrew Delsignore | Physical Therapist | 170 Warren St, Glens Falls, NY 12801-4525 | 2015-03-03 |
| 1093885147 | Eden Park Health Services, Inc. | Skilled Nursing Facility | 170 Warren St, Glens Falls, NY 12801-4525 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720289523 | Charles L. Lowe, M.d. | Family Medicine | 611b Glen St, Glens Falls, NY 12801-2041 | 2007-05-30 |
| 1699883918 | Roslyn W Socolof | Family Medicine | 152 Upper Sherman Ave, Glens Falls, NY 12804-2746 | 2006-08-27 |
| 1396795118 | Jean Ansari Flanagan | Family Medicine | 170 Warren St, Glens Falls, NY 12801-4525 | 2006-05-11 |
| 1003894932 | Andrew W. Garner | Family Medicine | 8 Harrison Ave, Glens Falls, NY 12801-2828 | 2005-12-30 |
| 1003897398 | Diane Marie Macdonnell | Family Medicine | 461 Glen St, Glens Falls, NY 12801-2906 | 2005-11-14 |
| 1689655854 | Eric Albert Goe | Family Medicine | 65 Elm St, Glens Falls, NY 12801-3525 | 2005-11-07 |
| 1467452441 | Gerard F Abess | Family Medicine | 3 Irongate Center, Glens Falls, NY 12801-3471 | 2005-07-29 |
| 1134649486 | Heather J Johnson | Family Medicine | 3 Irongate Ctr, Glens Falls, NY 12801-3471 | 2017-06-27 |
| 1609263748 | Anne Evans | Family Medicine | 1 Irongate Ctr, Glens Falls, NY 12801-3471 | 2015-04-15 |
| 1417342361 | Alexandra Aarons | Family Medicine | 3 Irongate Ctr, Glens Falls, NY 12801-3471 | 2015-03-30 |
| Find all providers in GLENS FALLS | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.