Individual
THOMAS RUTSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
552 AVENUE OF THE AMERICAS, NEW YORK, NY 10011-2010
(347) 943-7647
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002713-01
NY
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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