Organization
DANIEL M RUDOFOSSI PSYD PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY RUBIN (BILLING/CREDENTIALING)
(718) 926-3804
Entity
Organization
Contact information
Practice address
4 PARK AVE, SUITE 10F, NEW YORK, NY 10016-5339
(917) 836-0635
Mailing address
4 PARK AVE, SUITE 10F, NEW YORK, NY 10016-5339
(917) 836-0635
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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