Hudson Mohawk Pediatric & Adolescent Medicine
LBN: Hudson Mohawk Pediatric & Adolescent Medicine
Hudson Mohawk Pediatric & Adolescent Medicine is an health care organization with primary practice located at 318 Ruhle Rd S , Ballston Lake NY 12019-1030. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Hudson Mohawk Pediatric & Adolescent Medicine can be contacted via phone (518) 899-4133, or through Buckley, Gayle B via phone (518) 899-4133.
Contact Information
Primary practice address
318 Ruhle Rd S
Ballston Lake NY 12019-1030
Phone: (518) 899-4133
Fax: (518) 899-5764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 107075 | New York |
Profile Details
| NPI number | 1306950563 |
|---|---|
| LBN Legal business name | Hudson Mohawk Pediatric & Adolescent Medicine |
| DBA Doing business as | |
| Authorized official | Buckley, Gayle B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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