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MR. EDISON RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
166 E SAINT MARKS PL, VALLEY STREAM, NY 11580-4440
(718) 963-8533
Mailing address
166 E SAINT MARKS PL, VALLEY STREAM, NY 11580-4440
(718) 963-8533

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
010427
NY

Other

Enumeration date
09/12/2006
Last updated
07/08/2007
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