Individual
JOSEPH RUELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
106 LIBERTY ST, NEW YORK, NY 10006-1016
(646) 461-2544
Mailing address
106 LIBERTY ST, NEW YORK, NY 10006-1016
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003469-1
NY
Other
Enumeration date
05/05/2006
Last updated
07/14/2015
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