Provider Demographics
NPI:1922160977
Name:RUIZ, FELIX MICHAEL (MSW)
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:MICHAEL
Last Name:RUIZ
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GLEN SUMMER RD
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-5005
Mailing Address - Country:US
Mailing Address - Phone:631-472-0427
Mailing Address - Fax:
Practice Address - Street 1:7 GLEN SUMMER RD
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-5005
Practice Address - Country:US
Practice Address - Phone:631-472-0427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker