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BRENDAN PATRICK RUDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
2215 BURDETT AVE, TROY, NY 12180-2466
(518) 833-6470
(518) 271-3682
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
755871
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404982
NY

Other

Enumeration date
04/04/2023
Last updated
07/31/2023
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