Rudner, Vladislav

Rudner, Vladislav is an sole proprietor health care provider with primary practice located at 1901 82Nd St , Brooklyn NY 11214-2305. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Rudner, Vladislav can be contacted via phone (718) 427-4845.

Contact Information

Primary practice address
1901 82Nd St Brooklyn NY 11214-2305
Phone: (718) 427-4845
Fax: (718) 265-4960
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 022504 New York

Profile Details

NPI number 1033180112
LBN Legal business name Rudner, Vladislav
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Oct 15th, 2012 - about 13 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 1033180112 NPPES
New York MEDICAID 02513862

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