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1104448489
NICHOLAS RUGGIERO
STATEN ISLAND, NY
NPI
1104448489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 025948)
Enumeration Date
2020-05-10
Last Update Date
2021-04-08
Business Address
Mr. NICHOLAS RUGGIERO PA-C
136 BROOK AVE
STATEN ISLAND, NY 10306-4420
Phone number: 718-619-6124
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Mailing Address
Mr. NICHOLAS RUGGIERO PA-C
136 BROOK AVE
STATEN ISLAND, NY 10306-4420
Phone number: 718-619-6124
Copy
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