Individual
RIVKA RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
769 REMSEN AVE, BROOKLYN, NY 11236-1423
(718) 498-7444
Mailing address
769 REMSEN AVE, BROOKLYN, NY 11236-1423
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
839706
NY
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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