# RUTMAN MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265090674
- **Authorized official:** MATTHEW C RUTMAN DO (OWNER)
- **Authorized official phone:** (917) 207-2684

## Contact information

- **Practice address:** 148 NATURES LN, MILLER PLACE, NY 11764-3137
- **Practice address phone:** (917) 207-2684
- **Mailing address:** 148 NATURES LN, MILLER PLACE, NY 11764-3137
- **Mailing address phone:** (917) 207-2684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | — | NULL | Yes |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2019
- **Last updated:** 05/31/2019