Individual
DR. DIANE CAROL RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 E 75TH ST, NEW YORK, NY 10021-2660
(212) 734-3424
Mailing address
15 E 75TH ST, NEW YORK, NY 10021-2660
(212) 734-3424
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
174005
NY
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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