Individual
MR. DAVID HOLODAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110-1074
(518) 348-3176
Mailing address
601 GATES RD, SUITE 3, VESTAL, NY 13850-2288
(607) 584-7387
(607) 772-1223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F335545
NY
363LP0200X
Pediatric Nurse Practitioner
F335545
NY
Other
Enumeration date
07/15/2008
Last updated
10/29/2019
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