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NPI Code Detail

MEDICARE: DEBORAH RUDMAN CASAC

MEDICARE:   DEBORAH  RUDMAN  CASAC
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1922393859
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH RUDMAN CASAC
Provider Business Mailing Address
First Line : 81 LAKE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14608-1410
Country : US
Telephone Number : 585-368-6900
Fax Number :
Provider Business Practice Location Address
First Line : 150 MOUNT HOPE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-1016
Country : US
Telephone Number : 585-445-5310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 12/28/2021

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Directions to “ DEBORAH RUDMAN CASAC” Practice Location

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