Olmedo, Ruben
Olmedo, Ruben is an individual health care provider with primary practice located at 1 Gustave L Levy Pl Fl 12 , New York NY 10029-6574. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Olmedo, Ruben can be contacted via phone (917) 595-9920.Contact Information
Primary practice address
1 Gustave L Levy Pl Fl 12
New York NY 10029-6574
Phone: (917) 595-9920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Toxicology | 207PT0002X | 27804 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 203456 1 | New York |
Profile Details
| NPI number | 1831164680 |
|---|---|
| LBN Legal business name | Olmedo, Ruben |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jul 23rd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831164680 | NPPES |
| New York | Other | 930099986 | RR MEDICARE |
| New York | MEDICAID | 01704576 | RR MEDICARE |
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