Individual provider · Type 1 NPI

Erick Ruales, PA-C

Medical Physician Assistant · Roslyn, NY

NPI number 1710311352 Active

Practice location

100 Port Washington Blvd
Roslyn, NY 11576-1347

Mailing address

12 Graywood Rd Apt A
Port Washington, NY 11050-1516

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X016894 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1710311352

Erick Ruales, PA-C's National Provider Identifier is 1710311352, issued on Aug 30, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Roslyn, NY. The record was last updated on Aug 31, 2013.