| NPI | 1326624792 |
|---|---|
| Doing Business As | SALLY RUDNICK, LCSW, PLLC |
| Entity Type | Organization |
| Authorized Contact | SALLY RUDNICK Owner 917-656-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-31 |