Ruddy, Theresa Wendel
Ruddy, Theresa Wendel is an individual health care provider with primary practice located at 5100 W Taft Rd Ste 4A , Liverpool NY 13088-3810. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Ruddy, Theresa Wendel can be contacted via phone (315) 458-2211.Contact Information
Primary practice address
5100 W Taft Rd Ste 4A
Liverpool NY 13088-3810
Phone: (315) 458-2211
Fax: (315) 452-9025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 255925 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 255925 | New York |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 18258-875 | Wisconsin |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 255925 | New York |
Profile Details
| NPI number | 1841491099 |
|---|---|
| LBN Legal business name | Ruddy, Theresa Wendel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Jun 11th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841491099 | NPPES |
| New York | MEDICAID | 03280522 |
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