IndividualActive
Amy Hogan-Moulton, MD
NPI 1730177825 · Nephrology Physician · Glens Falls, NY
Provider details
- NPI number
- 1730177825
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 210381 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2 Broad Street Plz
Broad Street Medical Group
Glens Falls, NY 12801-4363
Phone: (518) 926-1770
Fax: (518) 926-1799
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 304
Glens Falls, NY 12801-0304
Registry dates
- Enumerated
- 2005-10-12
- Last updated
- 2012-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.