Individual
SHENTIQUE MONIQUE RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 962-4463
(646) 962-0500
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 962-4463
(646) 962-0500
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
784054
NY
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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