Individual
DR. DENISE WOODALL-RUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 WAVERLY AVE, PATCHOGUE, NY 11772-1555
(631) 444-6300
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
217208
NY
208000000X
Pediatrics Physician
MD203297
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02204433
—
NY
05
—
1808237
—
LA
Enumeration date
07/20/2006
Last updated
07/21/2022
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