| Doctor Name: | DR. JOHN JOSEPH HUDAK |
| NPI Number: | 1407815202 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. PSYCHOLOGIST |
| License Number: | 010198 |
| Business Practice Address: | 478 Creek Rd Pleasant Valley, NY - 125697157 |
| Business Phone Number: | 8456352015 |
| Business Fax Number: | 8456353278 |
| Mailing Address: | 478 Creek Rd, PLEASANT VALLEY |
| State: | NY |
| Postal Code: | 125697157 |
| Phone Number: | 8456352015 |
| Fax Number: | 8456353278 |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 010198 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |