| Doctor Name: | MS. KIMBERLY AMATRUDA DUDRAK |
| NPI Number: | 1023044450 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA C |
| License Number: | 006096 |
| Business Practice Address: | 36 Elizabeth St Dansville, NY - 144371632 |
| Business Phone Number: | 5853352030 |
| Business Fax Number: | 5853352035 |
| Mailing Address: | 3889 North Rd, GENESEO |
| State: | NY |
| Postal Code: | 14454 |
| Phone Number: | 5852434000 |
| Fax Number: | 5852434002 |
| NPI Enumeration Date: | 06/25/2006 |
| NPI Last Update Date: | 03/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 006096 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |