HUDSON MOHAWK PEDIATRIC & ADOLESCENT MEDICINE
NPI 1306950563
Specialist in Ballston Lake, NY

Q: What is Hudson Mohawk Pediatric & Adolescent Medicine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 17, 2006

318 RUHLE RD S, BALLSTON LAKE, NY 12019(518) 899-4133(518) 899-5764 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Hudson Mohawk Pediatric & Adolescent Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUDSON MOHAWK PEDIATRIC & ADOLESCENT MEDICINE (NPI 1306950563) is a healthcare organization registered as a specialist in Ballston Lake, New York and active in the NPI registry since August 2006. The organization lists Gayle B Buckley, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1306950563

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameHUDSON MOHAWK PEDIATRIC & ADOLESCENT MEDICINE

Location Address318 RUHLE RD SBallston Lake, NY 12019-1030

Mailing Address318 Ruhle Rd SBallston Lake, NY 12019-1030 · (518) 899-4133 · Fax (518) 899-5764

Phone(518) 899-4133

Fax(518) 899-5764

Organization SubpartNo

Authorized OfficialGayle B BuckleyOwner/physician · (518) 899-4133

Enumeration DateAugust 17, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1306950563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 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.

318 RUHLE RD S, Ballston Lake, NY 12019

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUDSON MOHAWK PEDIATRICS

General Acute Care Hospital (Children)

318 RUHLE RD S
BALLSTON LAKE, NY 12019

Saratoga County (518) 899-4133

CHRISTINE LANGE

Nurse Practitioner (Pediatrics)

318 RUHLE RD S
BALLSTON LAKE, NE 12019

Saratoga County (518) 899-4133

JAMES ANDERSON

Physician Assistant

318 RUHLE RD S
BALLSTON LAKE, NY 12019

Saratoga County (518) 899-4133

MRS. GAYLE BUCKLEY MD

Pediatrics

318 RUHLE RD S
BALLSTON LAKE, NY 12019

Saratoga County (518) 899-4133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hudson Mohawk Pediatric & Adolescent Medicine's NPI number?

The NPI number for Hudson Mohawk Pediatric & Adolescent Medicine is 1306950563. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Hudson Mohawk Pediatric & Adolescent Medicine located?

Hudson Mohawk Pediatric & Adolescent Medicine is located at 318 Ruhle Rd S, Ballston Lake, NY 12019. The listed phone number is (518) 899-4133.

What is Hudson Mohawk Pediatric & Adolescent Medicine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Hudson Mohawk Pediatric & Adolescent Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.