Provider Demographics
NPI:1295382414
Name:RUGGIERO, VICTORIA (PT,DPT)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:RUGGIERO
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:SEGRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 ROUTE 9 N STE 410
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-1003
Mailing Address - Country:US
Mailing Address - Phone:201-801-7141
Mailing Address - Fax:732-218-5322
Practice Address - Street 1:4010 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5118
Practice Address - Country:US
Practice Address - Phone:718-692-1155
Practice Address - Fax:718-692-1355
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist