Doctor Name: | MR. VLADISLAV RUDNER |
NPI Number: | 1033180112 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 022504 |
Business Practice Address: | 1901 82nd St Brooklyn, NY - 112142305 |
Business Phone Number: | 7184274845 |
Business Fax Number: | 7182654960 |
Mailing Address: | 1901 82nd St, BROOKLYN |
State: | NY |
Postal Code: | 112142305 |
Phone Number: | 7184274845 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 022504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |