Provider Demographics
NPI:1841231123
Name:LAPOINTE-RUDOWBS, DIANNE T (DR NP)
Entity Type:Individual
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First Name:DIANNE
Middle Name:T
Last Name:LAPOINTE-RUDOWBS
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Gender:F
Credentials:DR NP
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BOX 1104
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-8035
Mailing Address - Fax:212-241-2064
Practice Address - Street 1:5 E 98TH ST
Practice Address - Street 2:12TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-8035
Practice Address - Fax:212-241-2064
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2012-05-24
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Provider Licenses
StateLicense IDTaxonomies
NYF301708363L00000X, 204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01945211Medicaid
NY01945211Medicaid
NYA400037919Medicare PIN