Provider Demographics
NPI:1932213089
Name:RUGGIERO, GERALD ANTHONY (MS RRT)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:ANTHONY
Last Name:RUGGIERO
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Gender:M
Credentials:MS RRT
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Mailing Address - Street 1:178 BEACH 133RD ST
Mailing Address - Street 2:PRIVATE
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694-1434
Mailing Address - Country:US
Mailing Address - Phone:718-474-7897
Mailing Address - Fax:718-474-7897
Practice Address - Street 1:178 BEACH 133RD ST
Practice Address - Street 2:REAR ENTRANCE
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694-1434
Practice Address - Country:US
Practice Address - Phone:718-474-7897
Practice Address - Fax:718-474-7897
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2011-02-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY97Z392Medicare ID - Type UnspecifiedI.D.T.F. NEW YORK-EMPIRE
NY03517Medicare ID - Type UnspecifiedI.D.T.F. QUEENS-GHI