Rudner, Glenn
Rudner, Glenn is an individual health care provider with primary practice located at 1879 Madison Ave , New York NY 10035-2709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Rudner, Glenn can be contacted via phone (212) 423-4500.Contact Information
Primary practice address
1879 Madison Ave
New York NY 10035-2709
Phone: (212) 423-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 246708 | New York |
Profile Details
| NPI number | 1184889008 |
|---|---|
| LBN Legal business name | Rudner, Glenn |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2008 |
| Last updated | Jul 21st, 2008 - about 17 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 | 1184889008 | NPPES |
| New York | MEDICAID | PENDING |
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