Healthcare Provider Details

I. General information

NPI: 1598852683
Provider Name (Legal Business Name): JOSEPH T RUGGIERO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 09/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 E 72ND ST OFC 300
NEW YORK NY
10021-4635
US

IV. Provider business mailing address

428 E 72ND ST OFC 300
NEW YORK NY
10021-4635
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2083
  • Fax: 212-746-3305
Mailing address:
  • Phone: 212-746-0373
  • Fax: 212-746-7481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number135654
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number135654
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: