Individual
GRACE HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 359-1000
Mailing address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
260927
NY
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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