| Organization Name: | CECILIA P. RUELOS, M.D. |
| NPI Number: | 1396790382 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CECILIA P RUELOS (MD/OWNER) |
| Mailing Address: | 61 Rowland St Suite 208 Ballston Spa |
| State: | NY US |
| Postal Code: | 120201135 |
| Phone Number: | 5188840898 |
| Fax Number: | 5188847149 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | 133654 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |