Individual
MR. PAUL CHESTER RUTKOWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
282 HARRISON AVE, HARRISON, NY 10528-3328
(914) 835-1031
(914) 835-3601
Mailing address
282 HARRISON AVE, HARRISON, NY 10528-3328
(914) 835-1031
(914) 835-3601
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
094313
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00155055
—
NY
Enumeration date
09/01/2005
Last updated
07/08/2007
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