Individual
DR. ALICA RUCEKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1780 HANSHAW RD, ITHACA, NY 14850-9105
(607) 257-5858
(607) 257-1718
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
MD435332
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03053270
—
NY
05
—
1022323480001
—
PA
Enumeration date
10/21/2008
Last updated
12/14/2021
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