Organization
EAST COAST GYNECOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY RUT D.O. (OWNER/PRESIDENT)
(516) 712-6565
Entity
Organization
Contact information
Practice address
31 MERRICK AVE., SUITE #230, MERRICK, NY 11566
(516) 712-6565
(516) 217-4049
Mailing address
31 MERRICK AVE., SUITE #230, MERRICK, NY 11566
(516) 712-6565
(516) 217-4049
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
06/21/2023
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