Individual
DR. DONALD RUDIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 SELWYN AVE, 10TH FLOOR, BRONX, NY 10457-7626
(718) 960-1234
(718) 960-2055
Mailing address
1650 SELWYN AVE, 10TH FLOOR, BRONX, NY 10457-7626
(718) 960-1234
(718) 960-2055
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
121270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00698577
—
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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