Provider Demographics
NPI:1669041695
Name:HUDDLE HEALTH MEDICINE PLLC
Entity Type:Organization
Organization Name:HUDDLE HEALTH MEDICINE PLLC
Other - Org Name:CIRCULO HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-388-9926
Mailing Address - Street 1:3040 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-2102
Mailing Address - Country:US
Mailing Address - Phone:518-357-2011
Mailing Address - Fax:518-688-1694
Practice Address - Street 1:3040 BROADWAY
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-2102
Practice Address - Country:US
Practice Address - Phone:518-357-2011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPENDINGMedicaid