Individual
ADA RUDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1208 AVENUE Z, BROOKLYN, NY 11235-4302
(718) 368-2699
(718) 368-2544
Mailing address
1208 AVENUE Z, BROOKLYN, NY 11235-4302
(718) 368-2699
(718) 368-2544
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
205782
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01750150
—
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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