Individual
DR. JONATHAN A. RUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7001
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 796-5507
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
226811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02917742
—
NY
Enumeration date
09/29/2006
Last updated
10/14/2020
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