Doctor Name: | DR. SAMUEL F RUGGIERO |
NPI Number: | 1376542704 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | N3433 |
Business Practice Address: | 10440 Main St Clarence, NY - 140311627 |
Business Phone Number: | 7167596005 |
Business Fax Number: | 7168973338 |
Mailing Address: | 2507 Harlem Rd, CHEEKTOWAGA |
State: | NY |
Postal Code: | 142254527 |
Phone Number: | 7168966262 |
Fax Number: | 7168973338 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 11/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | N3433 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |