Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N3433 | NY |
Y | 222Z00000X | Podiatrist | N3433 | NY |
N | 213ES0131X | Foot Surgery | N3433 | NY |
NPI | 1376542704 |
---|---|
Provider Name | Dr. Samuel F Ruggiero |
First Address | Cheektowaga, NY 14225-4527 |
Second Address | Clarence, NY 14031-1627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 21/11/2008 |