1669595963 NPI number — MARIA CONCEPCION SANCHEZ RUIZ MD

Table of content: MARIA CONCEPCION SANCHEZ RUIZ MD (NPI 1669595963)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669595963 NPI number — MARIA CONCEPCION SANCHEZ RUIZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RUIZ
Provider First Name:
MARIA CONCEPCION
Provider Middle Name:
SANCHEZ
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669595963
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
212 HALF MOON BAY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CROTON ON HUDSON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10520-3101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-271-0013
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 E 233RD ST
Provider Second Line Business Practice Location Address:
657 EAST 233RD ST.
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10466-2604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-920-9135
Provider Business Practice Location Address Fax Number:
718-920-9106
Provider Enumeration Date:
04/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  196212 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01642488 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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