Individual
ELLEN NUDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
37 WOODMERE BLVD, WOODMERE, NY 11598-2158
(516) 295-0664
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
193827-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01890115
—
NY
Enumeration date
08/14/2006
Last updated
07/08/2007
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