Individual
DR. KIMBERLY FAZIO-RUGGIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
FCI OTISVILLE, 2 MILE DRIVE, OTISVILLE, NY 10963
(845) 386-6839
Mailing address
2094 ALBANY POST RD BLDG 1, MONTROSE, NY 10548-1454
(914) 737-4400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025988
NY
Other
Enumeration date
09/26/2023
Last updated
10/02/2024
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