Individual
MELANIE RUDOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
560 1ST AVE, RR 607, NEW YORK, NY 10016-6402
(212) 263-5072
Mailing address
7314 160TH ST, FLUSHING, NY 11366-1125
(973) 951-9600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
472901
NY
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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