Provider Demographics
NPI:1528359684
Name:FRANK RUGGIERO PHYSICAL THERAPIST, PLLC
Entity Type:Organization
Organization Name:FRANK RUGGIERO PHYSICAL THERAPIST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:RUGGIERO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:212-953-6040
Mailing Address - Street 1:370 LEXINGTON AVE
Mailing Address - Street 2:SUITE 1212
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6503
Mailing Address - Country:US
Mailing Address - Phone:212-953-6040
Mailing Address - Fax:212-953-0089
Practice Address - Street 1:370 LEXINGTON AVE
Practice Address - Street 2:SUITE 1212
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6503
Practice Address - Country:US
Practice Address - Phone:212-953-6040
Practice Address - Fax:212-953-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027129-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty