Individual
ALEXANDRIA CHRISTINA RUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2200 NORTHERN BLVD STE 220, GREENVALE, NY 11548-1220
(516) 302-8530
Mailing address
2330 SMITH LN, SEAFORD, NY 11783-3237
(929) 291-0919
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311840
NY
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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