DONNA RUDDY NPI 1336543933

NPI Information

  • NPI: 1336543933
  • Provider Name: DONNA RUDDY
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 38 HOOPER ST
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Phone: (631) 241-2027

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NPI Details

Donna Ruddy is a specialist in Port Jefferson Station, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Donna Ruddy NPI is 1336543933. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

38 HOOPER ST
PORT JEFFERSON STATION, NY
ZIP 11776-904
Phone: (631) 241-2027

The enumeration date for this NPI number is 10/10/2014 and was last updated on 10/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist710570678NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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