Provider Demographics
NPI:1346287620
Name:TADDONIO, RUDOLPH F (MD)
Entity Type:Individual
Prefix:DR
First Name:RUDOLPH
Middle Name:F
Last Name:TADDONIO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4 WESTCHESTER PARK DR
Mailing Address - Street 2:STE 320
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3497
Mailing Address - Country:US
Mailing Address - Phone:914-517-7981
Mailing Address - Fax:914-686-5478
Practice Address - Street 1:244 WESTCHESTER AVE
Practice Address - Street 2:SUITE 316
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2907
Practice Address - Country:US
Practice Address - Phone:914-288-0045
Practice Address - Fax:914-288-0065
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2018-12-04
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Provider Licenses
StateLicense IDTaxonomies
CT032861207XS0117X
NY112892207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA63857Medicare UPIN