Rudolph, Edward

Rudolph, Edward is an individual health care provider with primary practice located at 728 N Main St , New Square NY 10977-8916. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rudolph, Edward can be contacted via phone (845) 354-9300.

Contact Information

Primary practice address
728 N Main St New Square NY 10977-8916
Phone: (845) 354-9300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 056060-1 New York

Profile Details

NPI number 1457649824
LBN Legal business name Rudolph, Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Jul 17th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers