Individual
MRS. MARIE ELENA RUDNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 DEER PARK AVE, NORTH BABYLON, NY 11703-3105
(631) 667-5030
(631) 667-0766
Mailing address
1155 DEER PARK AVE, NORTH BABYLON, NY 11703-3105
(631) 667-5030
(631) 667-0766
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
080103284327031
NY
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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