Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 154826 | NY |
NPI | 1710946355 |
---|---|
Provider Name | Dr. William Ruppel |
First Address | Huntington, NY 11743-2787 |
Second Address | Huntington, NY 11743-2787 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 24/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02428788 | (05) | NY |
F35378 | (02) |