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Contact Information

RUDY NYDEGGER PHD, ABPP, PLLC
2317 BALLTOWN RD.
SUITE 203
SCHENECTADY, NY12309
 Phone: 518-377-4398
 Fax: 518-384-3475
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RUDY NYDEGGER PHD, ABPP, PLLC

NPI Number 1255680344
LBN Legal business name RUDY NYDEGGER PHD, ABPP, PLLC
Authorized official RUDY NYDEGGER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2012
Last updated 07/29/2014 - About 12 years ago
Identifiers
NY License # 5721
NY Medicaid 03537919
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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