Provider Demographics
NPI:1689882631
Name:YINGLING, ALLISON LEIGH RUZBARSKY (MD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEIGH RUZBARSKY
Last Name:YINGLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:LEIGH
Other - Last Name:RUZBARSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1850 E PARK AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-6706
Mailing Address - Country:US
Mailing Address - Phone:814-231-3147
Mailing Address - Fax:814-231-7351
Practice Address - Street 1:1850 E PARK AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-6706
Practice Address - Country:US
Practice Address - Phone:814-231-3147
Practice Address - Fax:814-231-7351
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4481712085R0202X
DCMD0385182085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology