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NPI Code Detail

MEDICARE: DR. RUBEN W CERRI MD

MEDICARE:  DR. RUBEN W CERRI  MD
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
1208000000XPediatrics Physician263776NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619961950
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUBEN W CERRI MD
Provider Business Mailing Address
First Line : 24175A OAK PARK DR
Second Line :
City : DOUGLASTON
State : NY
Zip : 11362-2619
Country : US
Telephone Number : 516-710-0695
Fax Number :
Provider Business Practice Location Address
First Line : 2818 STEINWAY ST
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3349
Country : US
Telephone Number : 718-210-4255
Fax Number : 516-945-0887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 01/22/2019

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Directions to “ DR. RUBEN W CERRI MD” Practice Location

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