Hudak, John Joseph

Hudak, John Joseph is an individual health care provider with primary practice located at 478 Creek Rd , Pleasant Valley NY 12569-7157. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Hudak, John Joseph can be contacted via phone (845) 635-2015.

Contact Information

Primary practice address
478 Creek Rd Pleasant Valley NY 12569-7157
Phone: (845) 635-2015
Fax: (845) 635-3278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 010198 New York

Profile Details

NPI number 1407815202
LBN Legal business name Hudak, John Joseph
Credentials PH.D. PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407815202 NPPES
New York MEDICAID 01933224

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