Healthcare Provider Details

I. General information

NPI: 1700192044
Provider Name (Legal Business Name): ILENE SUE RUHOY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 E 57TH ST
NEW YORK NY
10022
US

IV. Provider business mailing address

36 E 57TH ST
NEW YORK NY
10022
US

V. Phone/Fax

Practice location:
  • Phone: 212-600-2000
  • Fax: 212-540-0855
Mailing address:
  • Phone: 212-600-2000
  • Fax: 212-540-0855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberML60182572
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberMD60102455
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: