Rueda, Carlos Alberto
Rueda, Carlos Alberto is an sole proprietor health care provider with primary practice located at 25 S Regent St , Port Chester NY 10573-3512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Rueda, Carlos Alberto can be contacted via phone (917) 972-6771.Contact Information
Primary practice address
25 S Regent St
Port Chester NY 10573-3512
Phone: (917) 972-6771
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 204047 | New York |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME140892 | Florida |
Profile Details
NPI number | 1366490195 |
---|---|
LBN Legal business name | Rueda, Carlos Alberto |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 4th, 2006 |
Last updated | Mar 5th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366490195 | NPPES |
New York | MEDICAID | 01690582 |
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