Individual
BIRGIT RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-7544
(716) 828-9685
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-7544
(716) 828-9685
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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