Tatyana Ruderman M.D.

NPI 1093701377 - Specialist - 174400000X

NPI Details
NPI 1093701377
Gender Female
Enumeration Date 09/22/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
5410 15TH AVE
BROOKLYN NY, 11219-4321, US
Phone (718) 436-0771
Fax (718) 436-8118
Business Location
5410 15TH AVE
BROOKLYN NY, 11219-4321, US
Phone (718) 436-0771
Fax (718) 436-8118
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 218176
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According to our database, Dr. Tatyana Ruderman M.D. NPI is 1093701377, taxonomy code is 174400000X and license number is 218176, license state is located at New York. Tatyana Ruderman M.D. physically located at 5410 15th Ave, Brooklyn NY, 11219-4321. NPI Number Tatyana Ruderman M.D. has the Individual type.

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1093701377 NPI number is provided on an as is basis without warranty of any kind. 1093701377 is maintained by the National Plan & Provider Enumeration System. The contents of Tatyana Ruderman M.D. are for informational purposes only.