Individual
LUCY RUANGVORAVAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 HOWARD AVE FL 3, NEW HAVEN, CT 06519-1369
(203) 785-2572
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
276597
NY
2086S0127X
Trauma Surgery Physician
Primary
50802
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03914743
—
NY
Enumeration date
07/14/2010
Last updated
08/28/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us