Individual
NICHOLAS ANTHONY RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
3286 33RD ST APT D3, ASTORIA, NY 11106-2113
(347) 552-0887
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432353-01
NY
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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