Organization
RUDY NYDEGGER PHD, ABPP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDY V NYDEGGER PHD (OWNER)
(518) 377-4398
Entity
Organization
Contact information
Practice address
2317 BALLTOWN RD., SUITE 203, SCHENECTADY, NY 12309
(518) 377-4398
(518) 384-3475
Mailing address
2317 BALLTOWN RD., SUITE 203, SCHENECTADY, NY 12309
(518) 377-4398
(518) 384-3475
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03537919
—
NY
Enumeration date
09/05/2012
Last updated
07/29/2014
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