MEDICARE: HUDSON HEADWATERS HEALTH NETWORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QF0400X	Federally Qualified Health Center (FQHC)
2	363LF0000X	Family Nurse Practitioner
3	207Q00000X	Family Medicine Physician
4	207R00000X	Internal Medicine Physician
5	363A00000X	Physician Assistant
6	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1003691064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUDSON HEADWATERS HEALTH NETWORK

Provider Business Mailing Address
First Line	:	9 CAREY RD
Second Line	:
City	:	QUEENSBURY
State	:	NY
Zip	:	12804-7880
Country	:	US
Telephone Number	:	518-761-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 4TH ST
Second Line	:
City	:	MALONE
State	:	NY
Zip	:	12953-1350
Country	:	US
Telephone Number	:	518-824-2562
Fax Number	:	833-941-5091

Authorized Official
Title or Position	:	EXECUTIVE VP, FINANCE & CFO
Name	:	LAURA PASCO
Credential	:
Telephone Number	:	518-761-0300

Provider Enumeration Date	:	08/29/2023
Last Update Date	:	03/07/2026

Similar Medicare Providers

1992800460 — NADAV SHARON M.D.
Practice Location Address:

24 4TH ST
MALONE, NY
12953-1350

Practice Phone: 518-481-2842
Practice Fax: 518-481-2843

1699876482 — NORTH COUNTRY HEALTH CARE, MEDICAL PLLC
Practice Location Address:

24 4TH ST
MALONE, NY
12953-1350

Practice Phone: 518-481-6044
Practice Fax: 518-481-6043

1760572903 — VLADIMIR MEDVED
Practice Location Address:

24 4TH ST
MALONE, NY
12953-1350

Practice Phone: 518-481-6044
Practice Fax: 518-481-6043

1073841250 — RAHUL GUPTA MBBS,MS,DNB
Practice Location Address:

24 4TH ST STE 4
MALONE, NY
12953-1350

Practice Phone: 518-481-2632
Practice Fax:

1174479521 — CHELSEY A MARSHALL RN
Practice Location Address:

31 6TH ST # A
MALONE, NY
12953-1246

Practice Phone: 518-483-3261
Practice Fax: 518-483-3383

1609421833 — SANDRA HELEN GLASTETTER CASAC, SOCIAL WORKER
Practice Location Address:

125 FINNEY BLVD
MALONE, NY
12953-1067

Practice Phone: 518-481-8160
Practice Fax: 518-481-8161

Directions to “HUDSON HEADWATERS HEALTH NETWORK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.