Individual
ROBIN E RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1371
Mailing address
110 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1371
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000184
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000184
NY LICENSE
NY
Enumeration date
06/01/2006
Last updated
07/20/2016
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