CRAIG J. RUDOLPH

BAY SHORE, NY
NPI1083632186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  003171)
Enumeration Date2006-07-17
Last Update Date2007-10-09
Business Address
Mr. CRAIG J. RUDOLPH PA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
Mailing Address
Mr. CRAIG J. RUDOLPH PA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000