Healthcare Provider Details

I. General information

NPI: 1669595963
Provider Name (Legal Business Name): MARIA CONCEPCION SANCHEZ RUIZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E 233RD ST 657 EAST 233RD ST.
BRONX NY
10466-2604
US

IV. Provider business mailing address

212 HALF MOON BAY DR
CROTON ON HUDSON NY
10520-3101
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-9135
  • Fax: 718-920-9106
Mailing address:
  • Phone: 914-271-0013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number196212
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: