Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 032861 | CT |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 112892 | NY |
NPI | 1346287620 |
---|---|
Provider Name | Dr. Rudolph F. Taddonio |
First Address | White Plains, NY 10604-3497 |
Second Address | White Plains, NY 10604-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 04/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A63857 | (02) | NY |