Individual
MRS. DIANA RUDGAYZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8804 5TH AVE, BROOKLYN, NY 11209-5902
(718) 238-7451
Mailing address
2617 E 17TH ST, APT. #4F, BROOKLYN, NY 11235-3825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016232-1
NY
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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