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Organization
SOUTH SHORE CARDIOVASCULAR MEDICINE P C
Active
Organization
SOUTH SHORE CARDIOVASCULAR MEDICINE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A RUISI MD (PRESIDENT)
(631) 264-2424
Entity
Organization
Contact information
Practice address
137 BROADWAY, SUITE A, AMITYVILLE, NY 11701-2742
(631) 264-2424
(631) 264-0233
Mailing address
137 BROADWAY, SUITE A, AMITYVILLE, NY 11701-2742
(631) 264-2424
(631) 264-0233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
161768-1
NY
Other
Enumeration date
04/29/2010
Last updated
11/09/2010
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