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NPI Code Detail

MEDICARE: MR. THOMAS PAUL RUFF JR. PA-C

MEDICARE: MR. THOMAS PAUL RUFF JR. PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant022676NY

General Provider Information

NPI Number : 1023593019
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS PAUL RUFF JR. PA-C
Provider Business Mailing Address
First Line : 283 PALISADE AVE
Second Line :
City : DOBBS FERRY
State : NY
Zip : 10522-3513
Country : US
Telephone Number : 914-216-3171
Fax Number :
Provider Business Practice Location Address
First Line : 3424 KOSSUTH AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-2489
Country : US
Telephone Number : 718-519-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2018
Last Update Date : 09/26/2018

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