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NPI Code Detail

MEDICARE: ALEXANDRA RUHL

MEDICARE: ALEXANDRA RUHL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist021424NY

General Provider Information

NPI Number : 1467973453
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA RUHL
Provider Business Mailing Address
First Line : 4 MONROE ST
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-4032
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 274 W BROADWAY
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-3911
Country : US
Telephone Number : 516-897-0140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2017
Last Update Date : 06/29/2017

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