Individual
ALISSA ANNE RUCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-2500
Mailing address
252 ELLEN PL, JERICHO, NY 11753-1824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0331051
NY
Other
Enumeration date
09/29/2010
Last updated
09/11/2011
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