Individual
EDWARD VICTOR RUTKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2035 LAKEVILLE ROAD, NEW HYDE PARK, NY 11040
(516) 328-9797
(516) 352-6579
Mailing address
2035 LAKEVILLE ROAD, NEW HYDE PARK, NY 11040
(516) 328-9797
(516) 352-6579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1629141
NY
207RC0000X
Cardiovascular Disease Physician
1629141
NY
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
1629141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01167399
—
NY
Enumeration date
08/07/2006
Last updated
09/11/2025
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