Rudolph, Michelle E

Rudolph, Michelle E is an sole proprietor health care provider with primary practice located at 113 Bowman Ave , Rye Brook NY 10573-2808. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rudolph, Michelle E can be contacted via phone (203) 246-4311.

Contact Information

Primary practice address
113 Bowman Ave Rye Brook NY 10573-2808
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 090099 New York

Profile Details

NPI number 1841629342
LBN Legal business name Rudolph, Michelle E
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2013
Last updated Oct 9th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841629342 NPPES
New York MEDICAID 00355940
New York Other 1285628552
New York Other WVE061

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