MR. DAVID HOLODAK NP NPI 1639333909

NPI Information

  • NPI: 1639333909
  • Provider Name: MR. DAVID HOLODAK, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1205 TROY SCHENECTADY RD STE 101
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 348-3176

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NPI Details

MR. David Holodak, NP is a family nurse practitioner in Latham, NY. MR. David Holodak, NP NPI is 1639333909. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1205 TROY SCHENECTADY RD STE 101
LATHAM, NY
ZIP 12110-074
Phone: (518) 348-3176

The NPI 1639333909 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2008 and was last updated on 10/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsF335545NEW YORKNo
2363LF0000XNurse PractitionerFamilyF335545NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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