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Individual

DR. MARY MAHONEY RUISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
435 E 70TH ST, APARTMENT 11F, NEW YORK, NY 10021-5342
(212) 933-4627
Mailing address
525 E 68TH ST, DEPARTMENT OF PEDIATRICS, BOX 139, NEW YORK, NY 10065-4870
(212) 746-3131

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
242347
NY

Other

Enumeration date
05/20/2008
Last updated
05/20/2008
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