Individual
PETER JAMES RUBERTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 RIVERVIEW, PORT EWEN, NY 12466-5104
(845) 505-4141
Mailing address
45 RIVERVIEW, PORT EWEN, NY 12466-5104
(845) 505-4141
Taxonomy
Speciality
Code
Description
License number
State
2471C1106X
Cardiac-Interventional Technology Radiologic Technologist
Primary
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471C3402X
Radiography Radiologic Technologist
595962
NY
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
Other
Enumeration date
07/04/2024
Last updated
07/08/2024
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