Individual
AMANDA RUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 3RD AVE FL 2, NEW YORK, NY 10035-3535
(212) 988-9500
Mailing address
130 E 18TH ST APT 6A, NEW YORK, NY 10003-2438
(646) 714-5177
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
022728
NY
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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