National Provider Identifier

Liza G Rudroff, M.ED., TVI

Liza G Rudroff, M.ED., TVI is listed in the NPPES registry with a primary specialty of Specialist in Kenmore, NY and a listed phone number of (716) 777-0870.

NPI 1528629326Kenmore, NYSpecialist

Profile Overview

NPI
1528629326
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 24, 2019
Last Updated
October 20, 2022

Practice Location

  • 85 Washington Ave
  • Lwr
  • Kenmore, NY 14217-1905

Phone: (716) 777-0870

Specialties

  • Specialist (174400000X)
  • Specialist (174400000X)
Full Record
NPI
1528629326
Entity Type
Individual
Last Name
Rudroff
First Name
Liza
Middle Name
G
Name Prefix
Mrs.
Credential
M.ED., TVI
Mailing Street Address
85 Washington Ave
Mailing Address Line 2
Lwr
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1905
Mailing Country
US
Mailing Phone
(716) 777-0870
Practice Street Address
85 Washington Ave
Practice Address Line 2
Lwr
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1905
Practice Country
US
Practice Phone
(716) 777-0870
Enumeration Date
June 24, 2019
Last Updated
October 20, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
October 20, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X), Specialist (174400000X)