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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HUDSON MOHAWK PEDIATRIC & ADOLESCENT MEDICINE

Active Organization

HUDSON MOHAWK PEDIATRIC & ADOLESCENT MEDICINE is a Specialist organization located in BALLSTON LAKE, New York. NPI 1306950563 is currently active in the NPPES registry. Verify at CMS.

Specialist · BALLSTON LAKE, NY

Registration Details

NPI Number
1306950563
Provider Type
Organization
NPI Issued
Aug 17, 2006 (19.809976319906 yrs)
Last Updated
Aug 22, 2020
License
107075 (NY)

Practice Information

Address
318 RUHLE RD S
BALLSTON LAKE, NY, 120191030
Browse NY providers · Browse ZIP 12019
Phone
5188994133
Fax
5188995764
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.