Individual provider · Type 1 NPI
Kristin Marie Ruiz, PA-C
Medical Physician Assistant · Port Jefferson Station, NY
NPI number
1073207387
Active
Practice location
1010 Route 112 Ste 300
Port Jefferson Station, NY 11776-3386
Mailing address
2319 Mill Rd
Ronkonkoma, NY 11779-1406
Other practice locations
- 6080 Jericho Tpke Ste 100, Commack, NY 11725-2808 · (631) 364-9119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 029974 (NY) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Medical Services of New Hyde Park PCNeurology Physician Port Jefferson Station, NY NPI 1598418568
- Suffolk Brain and Nerve, PLLCNeurology Physician Port Jefferson Station, NY NPI 1083132658
- True North Medical at North Suffolk PLLCNeurology Physician Port Jefferson Station, NY NPI 1639804628
- Maryana Liedke, DONeurology Physician Port Jefferson Station, NY NPI 1386987956
Other medical physician assistant providers in Port Jefferson Station
About NPI 1073207387
Kristin Marie Ruiz, PA-C's National Provider Identifier is 1073207387, issued on Jun 8, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jun 8, 2023.