| Dr Jason Marc Rudolph, PSYD | |
|
48 South Breeze Drive, Wainscott, NY 11975 | |
| (917) 750-8400 | |
| Not Available |
| Full Name | Dr Jason Marc Rudolph |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 48 South Breeze Drive, Wainscott, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174404016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35868 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 017306 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Marc Rudolph, PSYD Po Box 1006, Wainscott, NY 11975-1006 Ph: (917) 750-8400 | Dr Jason Marc Rudolph, PSYD 48 South Breeze Drive, Wainscott, NY 11975 Ph: (917) 750-8400 |
Peter Mancuso, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Stephen Hands Path, Wainscott, NY 11975 Phone: 631-324-0207 Fax: 631-824-9050 | |
Silvia Mcdaniel, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Stephen Hands Path, Child Development Center Of The Hamptons, Wainscott, NY 11975 Phone: 631-645-3310 | |
Dr. Joel L Kaye, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 352 Montauk Highway, Wainscott Offices, Wainscott, NY 11975 Phone: 917-673-4362 Fax: 631-537-1831 | |
Dr. James Vincent Sherwood, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 386 Montauk Highway, Wainscott, NY 11975 Phone: 631-537-6700 Fax: 631-537-7370 |