Hudson Mohawk Pediatric & Adolescent Medicine in Ballston Lake - Specialist
Hudson Mohawk Pediatric & Adolescent Medicine - NPI 1306950563
Hudson Mohawk Pediatric & Adolescent Medicine is a Specialist in Ballston Lake, New York. Hudson Mohawk Pediatric & Adolescent Medicine practices all healthcare services and medical treatments related to Specialist. The NPI Number for Hudson Mohawk Pediatric & Adolescent Medicine is 1306950563. The last update date is 2020-08-22.
Hudson Mohawk Pediatric & Adolescent Medicine's current location address is 318 Ruhle Rd S, Ballston Lake, New York. You can contact this provider via phone number 5188994133 and fax number 5188995764. The mailing address for Hudson Mohawk Pediatric & Adolescent Medicine is 318 Ruhle Rd S, Ballston Lake, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hudson Mohawk Pediatric & Adolescent Medicine |
|---|---|
| Address | 318 Ruhle Rd S, Ballston Lake, New York |
| Phone Number | 5188994133 |
| Fax Number | 5188995764 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Buckley B Gayle |
| Credentials | M.D. |
| Telephone Number | 5188994133 |
NPI Number Detail
| NPI Number | 1306950563 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 318 Ruhle Rd S |
|---|---|
| City | Ballston Lake |
| State | New York (NY) |
| Post Code | 120191030 |
| Phone Number | 5188994133 |
| Fax Number | 5188995764 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 107075 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Hudson Mohawk Pediatric & Adolescent Medicine?
The Hudson Mohawk Pediatric & Adolescent Medicine has been issued the NPI (National Provider Identifier) 1306950563 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Hudson Mohawk Pediatric & Adolescent Medicine is located?
The Hudson Mohawk Pediatric & Adolescent Medicine is situated at the following address: 318 Ruhle Rd S, Ballston Lake, NY, 120191030.
What is Hudson Mohawk Pediatric & Adolescent Medicine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Hudson Mohawk Pediatric & Adolescent Medicine is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When was the Hudson Mohawk Pediatric & Adolescent Medicine's 1306950563 issued?
The Hudson Mohawk Pediatric & Adolescent Medicine's 1306950563 was issued on 2006-08-17.
As of what date were the details related to Hudson Mohawk Pediatric & Adolescent Medicine most recently updated or revised?
The information pertaining to Hudson Mohawk Pediatric & Adolescent Medicine, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.