Provider Demographics
NPI:1245476225
Name:RUGGIERO, LINDA ELIZABETH (RPH)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ELIZABETH
Last Name:RUGGIERO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 W MERRITT BLVD
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2243
Mailing Address - Country:US
Mailing Address - Phone:845-896-4055
Mailing Address - Fax:845-896-1127
Practice Address - Street 1:26 W MERRITT BLVD
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2243
Practice Address - Country:US
Practice Address - Phone:845-896-4055
Practice Address - Fax:845-896-1127
Is Sole Proprietor?:No
Enumeration Date:2008-12-23
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist