Individual
SANDY RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15900 RIVERSIDE DR W, 4K70, NEW YORK, NY 10032-1004
(646) 305-2415
(212) 795-7579
Mailing address
15900 RIVERSIDE DR W, 4K70, NEW YORK, NY 10032-1004
(646) 305-2415
(212) 795-7579
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005933-1
NY
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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