Organization
CECILIA P. RUELOS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILIA P RUELOS M.D. (MD/OWNER)
(518) 884-0898
Entity
Organization
Contact information
Practice address
61 ROWLAND ST, SUITE 208, BALLSTON SPA, NY 12020-1135
(518) 884-0898
(518) 884-7149
Mailing address
61 ROWLAND ST, SUITE 208, BALLSTON SPA, NY 12020-1135
(518) 884-0898
(518) 884-7149
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
133654
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00786452
—
NY
Enumeration date
05/24/2006
Last updated
08/22/2020
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