Organization
STEVE W. RUCKER, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE W RUCKER M.D. (OWNER)
(516) 775-4545
Entity
Organization
Contact information
Practice address
1999 MARCUS AVE, SUITE 216, NEW HYDE PARK, NY 11042-1017
(516) 775-4545
(516) 775-4646
Mailing address
1999 MARCUS AVE, SUITE 216, NEW HYDE PARK, NY 11042-1017
(516) 775-4545
(516) 775-4646
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
164250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN4613
RAILROAD MEDICARE
NY
Enumeration date
10/25/2006
Last updated
12/14/2007
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