Individual
MARTIN LIFE RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
551 CENTRAL AVE, CEDARHURST, NY 11516-2192
(516) 594-0608
Mailing address
551 CENTRAL AVE, CEDARHURST, NY 11516-2192
(516) 594-0608
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N002511-9
NY
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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