Peter-John Ruiz, RPA-C
Physician Assistant in Islandia, NY. Individual provider (NPI-1).
NPI number1386668457
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1386668457
- Entity type
- Individual (NPI-1)
- Name
- Peter-John Ruiz
- Credential
- RPA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2006
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 009825-1 | NY | Yes |
Practice location
3001 Express Dr NSuite 102
Islandia, NY 11749-5301
Phone 631-439-0600 · Fax 631-439-0699
Mailing address
3001 Express Dr NSuite 102
Islandia, NY 11749-5301
Phone 631-439-0600 · Fax 631-439-0699
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