Individual
DR. SALVATORE LOUIS RUGGIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
2001 MARCUS AVE, SUITE N-10, NEW HYDE PARK, NY 11042-1011
(516) 775-1818
(516) 775-0892
Mailing address
2001 MARCUS AVE, SUITE N-10, NEW HYDE PARK, NY 11042-1011
(516) 775-1818
(516) 775-0892
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
044012
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
044012
NY
1223X0008X
Oral and Maxillofacial Radiology Dentistry
044012
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
044012
NY
174400000X
Specialist
188732
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
044012
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
188732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117134
AETNA
NY
05
—
01335919
—
NY
05
—
01559719
—
NY
01
—
5C4817
HEALTHNET
NY
01
—
AS632
OXFORD
NY
01
—
D7I151
BC/BS
NY
Enumeration date
08/03/2006
Last updated
07/13/2007
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