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NPI Code Detail

MEDICARE: DR. ROBERT RUDDY DC

MEDICARE:  DR. ROBERT  RUDDY  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorX008870NY

General Provider Information

NPI Number : 1376506378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT RUDDY DC
Provider Business Mailing Address
First Line : 2360 STATE ROUTE 89
Second Line :
City : SENECA FALLS
State : NY
Zip : 13148-9425
Country : US
Telephone Number : 315-568-3166
Fax Number : 315-568-3700
Provider Business Practice Location Address
First Line : 2360 STATE ROUTE 89
Second Line :
City : SENECA FALLS
State : NY
Zip : 13148-9425
Country : US
Telephone Number : 315-568-3166
Fax Number : 315-568-3700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 08/06/2010

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Directions to “ DR. ROBERT RUDDY DC” Practice Location

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