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General NPI Number Information
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NPI Number | 1972628014
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Entity Type | Individual
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Provider Name | ANTHONY R RUVO M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 558 LARKFIELD RD
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-4204
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Country | US
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Telephone | 845-565-3700
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Fax | 845-565-3696
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Provider Business Mailing Address
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Address Line | 484 TEMPLE HILL RD SUITE 104
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City | NEW WINDSOR
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State | NY
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Zip | 12553-5557
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Country | US
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Telephone | 845-565-3700
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 050882
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA06164300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 169290
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License Number State | NY
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