Organization
DR. MARTIN RUDOLPH DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN RUDOLPH DPM (DOCTOR)
(516) 594-0608
Entity
Organization
Contact information
Practice address
551 CENTRAL AVE, SUITE 21A, CEDARHURST, NY 11516-2192
(516) 569-3009
Mailing address
391 LAUREL RD, ROCKVILLE CENTRE, NY 11570-1416
(516) 594-0608
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
025119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00414475
—
NY
Enumeration date
11/15/2011
Last updated
11/15/2011
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