Individual provider · Type 1 NPI
Merrill Stacy Rudin
Chiropractor · New York, NY
NPI number
1164571311
Active
Practice location
211 E 60th St, Suite A3
New York, NY 10022-1437
Mailing address
311 E 83rd St, APT.5C
New York, NY 10028-4345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X006240 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1164571311
Merrill Stacy Rudin's National Provider Identifier is 1164571311, issued on Jan 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.