Organization · NPI-2

Ada Ruderman Medical PC

Clinic/Center · Brooklyn, NY

NPI number1679844401
StatusActive
Last updated in NPPESJan 25, 2012

Details

NPI
1679844401
Entity type
Organization (NPI-2)
Legal business name
Ada Ruderman Medical PC
Organization subpart
No
Enumeration date
Jan 25, 2012
Last updated
Jan 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center205782NYYes

Practice location

1208 Avenue Z
Brooklyn, NY 11235-4302

Phone 718-368-2699

Mailing address

1208 Avenue Z
Brooklyn, NY 11235-4302

Phone 718-368-2699

Authorized official

Ada Ruderman
President
7183682699

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