Provider Demographics
NPI:1497560734
Name:TELEHEALTH CHRISTEL DUDEK LLC
Entity type:Organization
Organization Name:TELEHEALTH CHRISTEL DUDEK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUDEK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:607-349-7734
Mailing Address - Street 1:1029 STATE ROUTE 26
Mailing Address - Street 2:
Mailing Address - City:WILLET
Mailing Address - State:NY
Mailing Address - Zip Code:13863-1001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1029 STATE ROUTE 26
Practice Address - Street 2:
Practice Address - City:WILLET
Practice Address - State:NY
Practice Address - Zip Code:13863-1001
Practice Address - Country:US
Practice Address - Phone:607-349-7734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center