Individual
RUBEN TAPIA YATCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
177 CAMPBELL AVE, WILLISTON PARK, NY 11596-1016
(516) 741-6872
(516) 741-7741
Mailing address
177 CAMPBELL AVE, WILLISTON PARK, NY 11596-1016
(516) 741-6872
(516) 741-7741
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
132536
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00781939
—
NY
Enumeration date
09/14/2006
Last updated
12/13/2010
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