Individual
LISA RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 YORK AVE APT 18N, NEW YORK, NY 10065-6342
(646) 852-8625
Mailing address
1233 YORK AVE APT 18N, NEW YORK, NY 10065-6342
(646) 852-8625
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P121392
NY
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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