Individual
DR. DEREK RUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 RIVERSIDE DR RM 235, NEW YORK, NY 10032-1007
(973) 727-7615
Mailing address
1051 RIVERSIDE DR RM 235, NEW YORK, NY 10032-1007
(973) 727-7615
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
293742
NY
Other
Enumeration date
07/23/2015
Last updated
11/29/2021
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