Individual provider · Type 1 NPI
Shentique Monique Rudolph
Gastroenterology Registered Nurse · New York, NY
NPI number
1487449930
Active
Practice location
525 E 68th St
New York, NY 10065-4870
Fax (646) 962-0500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gastroenterology Registered Nurse Primary | 163WG0100X | 784054 (NY) |
Gastroenterology Registered Nurse: Definition to come...
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About NPI 1487449930
Shentique Monique Rudolph's National Provider Identifier is 1487449930, issued on Apr 14, 2025. The primary taxonomy on file is Gastroenterology Registered Nurse (163WG0100X), and the practice location is in New York, NY. The record was last updated on Apr 14, 2025.