Provider Demographics
NPI:1104081850
Name:HWANG, JUDY C (PHD)
Entity type:Individual
Prefix:DR
First Name:JUDY
Middle Name:C
Last Name:HWANG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 LEHEIGH LN
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1019
Mailing Address - Country:US
Mailing Address - Phone:516-837-0825
Mailing Address - Fax:
Practice Address - Street 1:559 LEHEIGH LN
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1019
Practice Address - Country:US
Practice Address - Phone:516-837-0825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2010-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017713103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical