Individual
CHARLES A RUVOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
302 W 12TH ST, NEW YORK, NY 10014-6025
(212) 647-0282
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
107573
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00738665
—
NY
Enumeration date
09/28/2007
Last updated
09/28/2007
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