Rudnick, Gwen H

Rudnick, Gwen H is an individual health care provider with primary practice located at 21 Alva Dr , Latham NY 12110-4738. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Rudnick, Gwen H can be contacted via phone (518) 782-7366.

Contact Information

Primary practice address
21 Alva Dr Latham NY 12110-4738
Fax:
Website:

Health care specialties

Profile Details

NPI number 1821365792
LBN Legal business name Rudnick, Gwen H
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2011
Last updated Nov 21st, 2011 - 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 1821365792 NPPES
New York Other 05313-1 NEW YORK STATE LICENSE

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