Individual
ANTHONY R RUVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
558 LARKFIELD RD, EAST NORTHPORT, NY 11731-4204
(845) 565-3700
(845) 565-3696
Mailing address
484 TEMPLE HILL RD, SUITE 104, NEW WINDSOR, NY 12553-5557
(845) 565-3700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
050882
CT
207P00000X
Emergency Medicine Physician
Primary
169290
NY
207Q00000X
Family Medicine Physician
25MA06164300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01086800
—
NY
05
—
0410543
—
NJ
05
—
273979
—
CT
Enumeration date
03/20/2007
Last updated
04/09/2021
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