Rueda, Carlos Alberto

Rueda, Carlos Alberto is an sole proprietor health care provider with primary practice located at 25 S Regent St , Port Chester NY 10573-3512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Rueda, Carlos Alberto can be contacted via phone (917) 972-6771.

Contact Information

Primary practice address
25 S Regent St Port Chester NY 10573-3512
Phone: (917) 972-6771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 204047 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME140892 Florida

Profile Details

NPI number 1366490195
LBN Legal business name Rueda, Carlos Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Mar 5th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366490195 NPPES
New York MEDICAID 01690582

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