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Contact Information

FREDERICK D RUTKOVSKY, MD
19303 UNION TPKE
FRESH MEADOWS, NY11366-1874
 Phone: 718-468-6600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for FREDERICK D RUTKOVSKY · (Male)

NPI # 1477651123
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 05/10/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 176798
  • NY Medicaid 01723335
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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