Ada Ruderman
Adolescent Medicine
1208 Avenue Z
Brooklyn
, New York 11235-4302
Ada Ruderman
Adolescent Medicine
1208 Avenue Z
Brooklyn
, New York 11235-4302
(718) 368-2544
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Ada Ruderman
- 1208 Avenue Z
- Brooklyn, NY
- Zip : 11235-4302
- Fax : (718) 368-2544
- Phone : (718) 368-2699
Second Address
- Ada Ruderman
- 1208 Avenue Z
- Brooklyn, NY
- Zip : 11235-4302
- Fax : (718) 368-2544
- Phone : (718) 368-2699
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 205782 | NY |
National Provider Identifier
| NPI | 1114084399 |
|---|---|
| Provider Name | Ada Ruderman |
| First Address | Brooklyn, NY 11235-4302 |
| Second Address | Brooklyn, NY 11235-4302 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01750150 | (05) | NY |
| G51178 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.