Healthcare Provider Details

I. General information

NPI: 1215894464
Provider Name (Legal Business Name): SAM RUGGIERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3074 WHITNEY AVE
HAMDEN CT
06518-2391
US

IV. Provider business mailing address

67 HIGH ST
EAST HAVEN CT
06512-2315
US

V. Phone/Fax

Practice location:
  • Phone: 203-903-9363
  • Fax:
Mailing address:
  • Phone: 203-848-8845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: