Ruiz, Kristin Marie
Ruiz, Kristin Marie is an individual health care provider with primary practice located at 1010 Route 112 Ste 300 , Port Jefferson Station NY 11776-3386. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ruiz, Kristin Marie can be contacted via phone (631) 364-9119.Contact Information
Primary practice address
1010 Route 112 Ste 300
Port Jefferson Station NY 11776-3386
Phone: (631) 364-9119
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 029974 | New York |
Profile Details
NPI number | 1073207387 |
---|---|
LBN Legal business name | Ruiz, Kristin Marie |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2023 |
Last updated | Jun 8th, 2023 - about 2 years 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.
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