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Individual
STEVEN L VENTRUDO
Active
Individual
STEVEN L VENTRUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
166157-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01026824
—
NY
Enumeration date
07/27/2005
Last updated
04/21/2015
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