Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW T RUIZ

Active

ANDREW T RUIZ is a Social Worker healthcare provider located in PORT JEFFERSON STATI, New York. NPI 1063980829 is currently active in the NPPES registry. Verify at CMS.

Social Worker · PORT JEFFERSON STATI, NY

Registration Details

NPI Number: 1063980829
Provider Type: Individual
Gender: Male
NPI Issued: Nov 8, 2018 (7.7673307923092 yrs)
Last Updated: Sep 12, 2019
Licenses: 096124 (NY)

096124-1 (NY)

Practice Information

Address: 1500 ROUTE 112 BLDG 4

SUITE101

PORT JEFFERSON STATI, NY, 117761177
Browse NY providers · Browse ZIP 11776
Phone: 3175130006
Primary Specialty: Social Worker
104100000X
Additional Specialty: Social Worker
Additional Specialty: Social Worker

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.