Healthcare Provider Details

I. General information

NPI: 1205263043
Provider Name (Legal Business Name): ANTHONY FRANCIS RUVO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2013
Last Update Date: 09/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 GOLD ST APT 5008
NEW YORK NY
10038-4821
US

IV. Provider business mailing address

2 GOLD ST APT 5008
NEW YORK NY
10038-4821
US

V. Phone/Fax

Practice location:
  • Phone: 914-466-9472
  • Fax:
Mailing address:
  • Phone: 914-466-9472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number276433
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: