MARTIN LIFE RUDOLPH DPM
NPI 1811927379
Podiatrist - Foot Surgery in Cedarhurst, NY
- Individual
- Male
- Podiatrist
- Foot Surgery
About MARTIN RUDOLPH
This page provides the complete NPI Profile along with additional information for Martin Rudolph, a provider established in Cedarhurst, New York with a medical specialization in Podiatrist, focusing in foot surgery . The healthcare provider is registered in the NPI registry with number 1811927379 assigned on July 2006. The practitioner's primary taxonomy code is 213ES0131X with license number N002511-9 (NY). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1811927379 Verify this NPI
- Provider Name
- MARTIN LIFE RUDOLPH DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 551 CENTRAL AVE CEDARHURST, NY 11516
- Location Phone
- (516) 594-0608
- Mailing Address
- 551 CENTRAL AVE CEDARHURST, NY 11516
- Mailing Phone
- (516) 594-0608
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-03-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot Surgery
- Taxonomy Code
- 213ES0131X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- N002511-9
- License State
- NY
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811927379, enumerated as an "individual" on July 03, 2006.
The provider is located at 551 CENTRAL AVE CEDARHURST, NY 11516 and the phone number is (516) 594-0608.
Podiatrist with taxonomy code 213ES0131X and a focus in Foot Surgery.