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Contact Information

KIMBERLY FAZIO RUGGIERO, PSYD
FCI OTISVILLE
2 MILE DRIVE
OTISVILLE, NY10963
 Phone: 845-386-6839
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KIMBERLY FAZIO RUGGIERO · (Female)

NPI # 1497534689
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 09/26/2023
Last updated 10/02/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 025988
Hospital affiliation(s) Not Available
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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