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1083632186
CRAIG J. RUDOLPH
BAY SHORE, NY
NPI
1083632186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 003171)
Enumeration Date
2006-07-17
Last Update Date
2007-10-09
Business Address
Mr. CRAIG J. RUDOLPH PA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
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Mailing Address
Mr. CRAIG J. RUDOLPH PA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
Copy
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