Rutkovsky, Edward Victor

Rutkovsky, Edward Victor is an individual health care provider with primary practice located at 2035 Lakeville Road , New Hyde Park NY 11040. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rutkovsky, Edward Victor can be contacted via phone (516) 328-9797.

Contact Information

Primary practice address
2035 Lakeville Road New Hyde Park NY 11040
Phone: (516) 328-9797
Fax: (516) 352-6579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1629141 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 1629141 New York
Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine 207UN0903X 1629141 New York

Profile Details

NPI number 1881603892
LBN Legal business name Rutkovsky, Edward Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881603892 NPPES
New York MEDICAID 01167399

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