Organization
JOHN M RUDDY, D.C., PLLC
Active
Other names
Full Potential Sports Care, Full Potential Sports Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M RUDDY DC (OWNER)
(631) 786-9147
Entity
Organization
Contact information
Practice address
77 BROADWAY, SUITE 6, AMITYVILLE, NY 11701-2714
(631) 608-0522
(631) 956-4138
Mailing address
77 BROADWAY, SUITE 6, AMITYVILLE, NY 11701-2714
(631) 608-0522
(631) 956-4138
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011261
NY
Other
Enumeration date
03/19/2015
Last updated
11/24/2025
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