Individual
KATIE LYNN RUDY-TOMCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
225 SUMMIT AVE, MONTVALE, NJ 07645-1523
(201) 775-7000
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00947900
NJ
363LF0000X
Family Nurse Practitioner
Primary
F336499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03331633
—
NY
Enumeration date
04/01/2011
Last updated
10/14/2020
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