Provider Demographics
NPI:1417189309
Name:RUDA, EMERITA DOLINO (RN)
Entity Type:Individual
Prefix:
First Name:EMERITA
Middle Name:DOLINO
Last Name:RUDA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 UPLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2338
Mailing Address - Country:US
Mailing Address - Phone:914-421-9278
Mailing Address - Fax:
Practice Address - Street 1:51 UPLAND AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2338
Practice Address - Country:US
Practice Address - Phone:914-421-9278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4314021163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse