Individual
RUBEN OLMEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
(917) 595-9920
Mailing address
BOX 1149, ONE GUSTAVE LEVY PLACE, NEW YORK, NY 10029
(212) 241-0101
(212) 426-5083
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
203456 1
NY
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
27804
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01704576
—
NY
01
—
930099986
RR MEDICARE
NY
Enumeration date
02/22/2006
Last updated
07/23/2022
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