Individual
DR. STEVEN JOHN AMBRUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
230423
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028091301
UNIVERA
—
01
—
000529373001
BC/BS
—
01
—
000529373002
BC/BS
—
05
—
02903271
—
NY
01
—
070905000009
FIDELIS
—
01
—
1214321
IHA
—
Enumeration date
05/26/2007
Last updated
01/06/2021
Update your record
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