National Provider Identifier

Glenda Rudolph

Glenda Rudolph is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Rochester, NY and a listed phone number of (585) 430-2229.

NPI 1407613722Rochester, NYCase Manager/Care Coordinator

Profile Overview

NPI
1407613722
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
March 04, 2024
Last Updated
March 04, 2024

Practice Location

  • 435 Fetzner RD
  • Rochester, NY 14626-2261

Phone: (585) 430-2229

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1407613722
Entity Type
Individual
Last Name
Rudolph
First Name
Glenda
Mailing Street Address
435 Fetzner RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-2261
Mailing Country
US
Practice Street Address
435 Fetzner RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-2261
Practice Country
US
Practice Phone
(585) 430-2229
Enumeration Date
March 04, 2024
Last Updated
March 04, 2024
Sex
Female
Sole Proprietor
No
Certification Date
February 27, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)