Individual
MARY RUGGIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
4459 AMBOY RD, STATEN ISLAND, NY 10312-3863
(718) 948-6177
(718) 948-8189
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
164349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01110136
—
NY
Enumeration date
01/12/2006
Last updated
09/03/2010
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