Organization
AMBI MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUNILAL RUDER M.D. (CHIEF OF ANESTHESIA)
(516) 294-0030
Entity
Organization
Contact information
Practice address
110 WILLIS AVE, MINEOLA, NY 11501-2620
(516) 294-0030
(516) 294-0228
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02375964
—
NY
Enumeration date
05/25/2006
Last updated
08/22/2007
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