# DR. MARTIN RUDOLPH DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588941819
- **Authorized official:** DR. MARTIN RUDOLPH DPM (DOCTOR)
- **Authorized official phone:** (516) 594-0608

## Contact information

- **Practice address:** 551 CENTRAL AVE, SUITE 21A, CEDARHURST, NY 11516-2192
- **Practice address phone:** (516) 569-3009
- **Mailing address:** 391 LAUREL RD, ROCKVILLE CENTRE, NY 11570-1416
- **Mailing address phone:** (516) 594-0608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 025119 | NY | Yes |

## Other

- **Enumeration date:** 11/15/2011
- **Last updated:** 11/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00414475 | — | NY |