Dr. Donald R. Dudley
Chiropractic Sports Physician
90 Erie Canal Dr Suite D
Rochester
, New York 14626-4601
Dr. Donald R. Dudley
Chiropractic Sports Physician
90 Erie Canal Dr Suite D
Rochester
, New York 14626-4601
(585) 225-9636
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Donald R. Dudley
- 90 Erie Canal Dr Suite D
- Rochester, NY
- Zip : 14626-4601
- Fax : (585) 225-9636
- Phone : (585) 225-6430
Second Address
- Dr. Donald R. Dudley
- 90 Erie Canal Dr Suite D
- Rochester, NY
- Zip : 14626-4601
- Fax : (585) 225-9636
- Phone : (585) 225-6430
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Is Dr. Donald R. Dudley a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | X009170 | NY |
National Provider Identifier
| NPI | 1033145115 |
|---|---|
| Provider Name | Dr. Donald R. Dudley |
| First Address | Rochester, NY 14626-4601 |
| Second Address | Rochester, NY 14626-4601 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C09170-4 | WORKERS COMP (01) | 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.