Individual
DR. ELIZABETH A. RUCKDESCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D./PH.D.
Contact information
Practice address
750 E. ADAMS STREET, DEPARTMENT OF PATHOLOGY, SYRACUSE, NY 13210-2306
(315) 464-6751
(315) 464-6749
Mailing address
224 HARRISON STREET, STE 600, SYRACUSE, NY 13202
(315) 464-6751
(315) 464-6749
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
261284
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
261284-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2009
Last updated
12/04/2015
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