Individual provider · Type 1 NPI

Christopher John Ruvolo

Student in an Organized Health Care Education/Training Program · Bay Shore, NY

NPI number 1831859925 Active

Practice location

1445 5th Ave
Bay Shore, NY 11706-4128

Call (631) 309-6874 Map

Mailing address

12 Carman Blvd
Brookhaven, NY 11719-9416

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831859925

Christopher John Ruvolo's National Provider Identifier is 1831859925, issued on Dec 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bay Shore, NY. The record was last updated on Dec 30, 2021.