Organization
TRI-STATE EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY R RUVO MD (MANAGER)
(845) 565-3700
Entity
Organization
Contact information
Practice address
160 E MAIN ST, PORT JERVIS, NY 12771-2253
(845) 858-7000
Mailing address
484 TEMPLE HILL RD, NEW WINDSOR, NY 12553-5529
(845) 565-3700
(845) 565-3395
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01673803
—
NY
01
—
7487703
UNYSIS
NY
Enumeration date
06/10/2006
Last updated
09/23/2009
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