Provider Demographics
NPI:1518613132
Name:RUIZ, ANA ERIKA ABAPO
Entity Type:Individual
Prefix:
First Name:ANA ERIKA
Middle Name:ABAPO
Last Name:RUIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3919 62ND ST APT 44
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-3611
Mailing Address - Country:US
Mailing Address - Phone:929-502-9141
Mailing Address - Fax:
Practice Address - Street 1:304 E 62ND ST APT 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8244
Practice Address - Country:US
Practice Address - Phone:929-502-9141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026567-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty