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Individual

DR. MICHAEL RUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7 LORRAINE CT, SMITHTOWN, NY 11787-1633
(631) 813-8216
(888) 939-3964
Mailing address
7 LORRAINE CT, SMITHTOWN, NY 11787-1633
(631) 813-8216
(888) 939-3964

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
198185
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02068257
NY
01
CC0399
MEDICARE
NY
Enumeration date
12/07/2005
Last updated
12/21/2012
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