Individual
RUBY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
14445 87TH AVE, BRIARWOOD, NY 11435-3109
(718) 480-4026
Mailing address
24510 GRAND CENTRAL PKWY, APT LG, BELLEROSE, NY 11426-2744
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
243152-1
NY
207RP1001X
Pulmonary Disease Physician
244133
NY
Other
Enumeration date
04/05/2010
Last updated
03/05/2013
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