Individual
DR. JEFFREY ALAN RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
952 5TH AVE, SUITE 2D, NEW YORK, NY 10075-1740
(212) 628-8490
(212) 628-8496
Mailing address
952 5TH AVE, SUITE 2D, NEW YORK, NY 10075-1740
(212) 628-8490
(212) 628-8496
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
006419
NY
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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