Doctor Name: | DR. JOSEPH Y RUDNICK |
NPI Number: | 1326016155 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 1125061 |
Business Practice Address: | 615 Route 146a Clifton Park, NY - 120651606 |
Business Phone Number: | 5183714610 |
Business Fax Number: | 5183718307 |
Mailing Address: | 615 Route 146a, CLIFTON PARK |
State: | NY |
Postal Code: | 120651606 |
Phone Number: | 5183714610 |
Fax Number: | 5183718307 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 06/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1125061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |