Individual
DR. FREDERICK D. RUTKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19303 UNION TPKE, FRESH MEADOWS, NY 11366-1874
(718) 468-6600
Mailing address
19303 UNION TPKE, FRESH MEADOWS, NY 11366-1874
(718) 468-6600
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
176798
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01723335
—
NY
Enumeration date
09/20/2006
Last updated
05/10/2009
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