Donald R. Dudley in Rochester - Sports Physician

Donald R. Dudley - NPI 1033145115

Donald R. Dudley is a Sports Physician in Rochester, New York. Donald R. Dudley practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Donald R. Dudley is 1033145115. The last update date is 2023-09-06.

Donald R. Dudley's current location address is 90 Erie Canal Dr, Rochester, New York. You can contact this provider via phone number 5852256430 and fax number 5852259636. The mailing address for Donald R. Dudley is 90 Erie Canal Dr, Rochester, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald R. Dudley
Address 90 Erie Canal Dr, Rochester, New York
Phone Number 5852256430
Fax Number 5852259636
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1033145115
Provider Enumeration Date 2006-06-23
Last Updated Date 2023-09-06

Provider Mailing Address Detail

Address 90 Erie Canal Dr
City Rochester
State New York (NY)
Post Code 146264601
Phone Number 5852256430
Fax Number 5852259636

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No X009170
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C09170-4 NY WORKERS COMP

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FAQs about Donald R. Dudley

What is the unique provider identifier assigned to Donald R. Dudley?

The Donald R. Dudley has been issued the NPI (National Provider Identifier) 1033145115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Donald R. Dudley is physically located?

The Donald R. Dudley is situated at the following address: 90 Erie Canal Dr, Rochester, NY 146264601.

What is Donald R. Dudley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Donald R. Dudley is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.

When was the Donald R. Dudley's 1033145115 issued?

The Donald R. Dudley's 1033145115 was issued on 2006-06-23.

When was the information regarding Donald R. Dudley most recently updated?

The details pertaining to the Donald R. Dudley, including its address, specialty, and other relevant information, were last refreshed on 2023-09-06.

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