| Doctor Name: | DR. JASEN ALBERT RUIZ |
| NPI Number: | 1467609990 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SC.D. |
| License Number: | 57 002140 |
| Business Practice Address: | 115 Main St Suite A Tuckahoe, NY - 107072948 |
| Business Phone Number: | 9143953277 |
| Business Fax Number: | 9143953270 |
| Mailing Address: | 115 Main St, Suite A TUCKAHOE |
| State: | NY |
| Postal Code: | 107072948 |
| Phone Number: | 9143953277 |
| Fax Number: | 9143953270 |
| NPI Enumeration Date: | 08/27/2008 |
| NPI Last Update Date: | 05/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 57 002140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |