Healthcare Provider Details

I. General information

NPI: 1568422483
Provider Name (Legal Business Name): HEDY MIGDEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 ALBANY SHAKER RD STE 100
LOUDONVILLE NY
12211-1902
US

IV. Provider business mailing address

407 ALBANY SHAKER RD STE 100
LOUDONVILLE NY
12211-1902
US

V. Phone/Fax

Practice location:
  • Phone: 518-435-1300
  • Fax: 518-435-1397
Mailing address:
  • Phone: 518-435-1300
  • Fax: 518-435-1397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number179056
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number179056
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: