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Rudy Innocent
NPI 1831975523 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1847 Mott Ave Ste 2
Far Rockaway, NY 11691 - Phone
- (718) 337-6800
- Organisation at this address
- Queens Pediatric Services, P.C.
Tri-Boro Dental Facial Trauma Consulting P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
- Sex
- Male
- Record last updated
- 2023-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York