Individual
DAVID RUIZ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOBBY
Contact information
Practice address
3205 OXFORD AVE APT 10, BRONX, NY 10463-3565
(917) 916-7692
Mailing address
3205 OXFORD AVE APT 10, BRONX, NY 10463-3565
(917) 916-7692
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
44005478
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831163621
COMPLIANCE SPECIALIST
—
Enumeration date
01/10/2020
Last updated
01/10/2020
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