Individual
RUDY V NYDEGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2317 BALLTOWN RD, SUITE 203, SCHENECTADY, NY 12309-2339
(518) 377-4398
(518) 384-3750
Mailing address
2317 BALLTOWN RD, SUITE 203, SCHENECTADY, NY 12309-2339
(518) 377-4398
(518) 384-3750
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
005721
NY
103T00000X
Psychologist
Primary
5721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000471951001
BLUE SHIELD/HEALTHNOW
NY
05
—
00588954
—
NY
05
—
03537919
—
NY
01
—
1014721
CIGNA BEHAVIORAL HEALTH
—
01
—
110345
MANAGED HEALTH NETWORK
—
01
—
141787916
UNITED HEALTHCARE
—
01
—
1417879160000
APA PARTNERS
NY
01
—
3472890000
ACS OFFICE WORKERS' COMP
—
01
—
41107
MVP
NY
01
—
A124956
CDPHP
NY
01
—
S05721-6B
NYS WORKERS' COMP
NY
Enumeration date
01/25/2006
Last updated
04/16/2015
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