Individual
RUDY V NYDEGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
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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