Individual
DR. PETER RUZOHORSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 ROSS ST, BROOKLYN, NY 11211-7672
(718) 387-7628
(718) 387-0780
Mailing address
100 ROSS ST, BROOKLYN, NY 11211-7672
(718) 387-7628
(718) 387-0780
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
130916
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257965
—
NY
Enumeration date
11/29/2006
Last updated
07/08/2007
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