Rudinsky, Shana

Rudinsky, Shana is an individual health care provider with primary practice located at 147 Lake St , Newburgh NY 12550-5263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rudinsky, Shana can be contacted via phone (845) 563-8000.

Contact Information

Primary practice address
147 Lake St Newburgh NY 12550-5263
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 022762 New York

Profile Details

NPI number 1801361431
LBN Legal business name Rudinsky, Shana
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2018
Last updated Mar 18th, 2022 - about 3 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 1801361431 NPPES
New York MEDICAID 05436122

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