MEDICARE: HADASS RUDANSKY MSW

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1447847314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HADASS RUDANSKY MSW

Provider Business Mailing Address
First Line	:	1001 HAZEL PL
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1109
Country	:	US
Telephone Number	:	718-686-3149
Fax Number	:	718-686-4149

Provider Business Practice Location Address
First Line	:	156 BEACH 9TH ST
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-5636
Country	:	US
Telephone Number	:	718-686-3149
Fax Number	:	718-686-4149

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2020
Last Update Date	:	02/17/2026

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