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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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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