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General NPI Number Information
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NPI Number | 1780798116
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Entity Type | Individual
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Provider Name | JAVIER RUIZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 575 HUDSON VALLEY AVE SUITE100
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City | NEW WINDSOR
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State | NY
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Zip | 12553-4747
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Country | US
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Telephone | 845-565-9800
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Fax | 845-565-4801
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Provider Business Mailing Address
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Address Line | 575 HUDSON VALLEY AVE SUITE100
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City | NEW WINDSOR
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State | NY
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Zip | 12553-4747
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Country | US
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Telephone | 845-565-9800
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Fax | 845-565-4801
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 201549
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License Number State | NY
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