Provider Demographics
NPI:1568820066
Name:RUDMAN, SARAH ELIZABETH (NP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:RUDMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 MAPLEHURST RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-4507
Mailing Address - Country:US
Mailing Address - Phone:585-752-0873
Mailing Address - Fax:
Practice Address - Street 1:601 ELMWOOD AVE BOX 648
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-3429
Practice Address - Country:US
Practice Address - Phone:585-275-2734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-29
Last Update Date:2024-12-16
Deactivation Date:2024-09-04
Deactivation Code:
Reactivation Date:2024-11-18
Provider Licenses
StateLicense IDTaxonomies
NY432994363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care