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Contact Information

PETER JOHN RUIZ, RPA-C
3001 EXPRESS DR N
SUITE 102
ISLANDIA, NY11749-5301
 Phone: 631-439-0600
 Fax: 631-439-0699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PETER JOHN RUIZ · (Male)

NPI # 1386668457
Status Active
Credentials RPA-C
Entity Individual
Enumeration date 07/26/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 009825-1
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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