Provider Demographics
NPI:1346562386
Name:RUGGERIO, CHARLENE NEUMANN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:NEUMANN
Last Name:RUGGERIO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 FISHER AVE
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-2604
Mailing Address - Country:US
Mailing Address - Phone:914-395-1234
Mailing Address - Fax:914-395-0974
Practice Address - Street 1:6 FISHER AVE
Practice Address - Street 2:
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-2604
Practice Address - Country:US
Practice Address - Phone:914-395-1234
Practice Address - Fax:914-395-0974
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1051929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist