Individual
DR. KIM MARY RUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 302-8334
Mailing address
110 S BEDFORD RD, MOUNT. KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 302-8334
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
224197-1
NY
207ZD0900X
Dermatopathology (Pathology) Physician
25MA07478000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02761975
—
NY
Enumeration date
07/20/2007
Last updated
06/16/2016
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