Hudson Mohawk Pediatrics

LBN: Hudson Mohawk Pediatrics
Hudson Mohawk Pediatrics 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 Hospitals / Children, which is considered as the primary health care specialty. Hudson Mohawk Pediatrics can be contacted via phone (518) 899-4133, or through Buckley, Gayle via phone (518) 899-4133.

Contact Information

Primary practice address
318 Ruhle Rd S Ballston Lake NY 12019-1030
Phone: (518) 899-4133
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buckley, Gayle
Phone: (518) 899-4133

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Children 282NC2000X 107075 New York

Profile Details

NPI number 1225393986
LBN Legal business name Hudson Mohawk Pediatrics
DBA Doing business as
Authorized official Buckley, Gayle
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2012
Last updated Jul 9th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225393986 NPPES
New York MEDICAID 00628079

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