Individual
DR. RUBY LUKSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461
(718) 918-3513
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3513
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
ME126682
FL
2085R0202X
Diagnostic Radiology Physician
Primary
277400
NY
2085R0202X
Diagnostic Radiology Physician
ME126682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017886400
—
FL
01
—
277400
NEW YORK STATE MEDICAL LICENSE
NY
Enumeration date
04/07/2010
Last updated
08/30/2019
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