Provider Demographics
NPI:1629112784
Name:KLAUDIYA RUVINSKY PHYSICIAN, P.C.
Entity Type:Organization
Organization Name:KLAUDIYA RUVINSKY PHYSICIAN, P.C.
Other - Org Name:KLAUDIYA RUVINSKY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KLAUDIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUVINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-621-1585
Mailing Address - Street 1:2829 OCEAN PARKWAY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2829 OCEAN PARKWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:718-621-1585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty