National Provider Identifier
Mary Rudloff, PA-C
Mary Rudloff, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Fredonia, NY and a listed phone number of (716) 679-2233.
Profile Overview
- NPI
- 1407841356
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 16, 2005
- Last Updated
- January 25, 2024
Practice Location
- 12 Center St
- Suite 1
- Fredonia, NY 14063-1769
Phone: (716) 679-2233
Mailing Address
- 33 N Main St
- Suite 1
- Cassadaga, NY 14718-9600
Specialties
- Physician Assistant (363A00000X)
Endpoints
- mary.rudloff@upmcdirect.com
Direct Messaging Address | Upmc | Pittsburgh, PA 15219
Full Record
- NPI
- 1407841356
- Entity Type
- Individual
- Last Name
- Rudloff
- First Name
- Mary
- Name Prefix
- MS.
- Credential
- PA-C
- Mailing Street Address
- 33 N Main St
- Mailing Address Line 2
- Suite 1
- Mailing City
- Cassadaga
- Mailing State
- NY
- Mailing ZIP Code
- 14718-9600
- Mailing Country
- US
- Practice Street Address
- 12 Center St
- Practice Address Line 2
- Suite 1
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1769
- Practice Country
- US
- Practice Phone
- (716) 679-2233
- Practice Fax
- (716) 679-9698
- Enumeration Date
- September 16, 2005
- Last Updated
- January 25, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 12, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)