Provider Demographics
NPI:1205122231
Name:RUIZ, ARISTIDES V (BS, MSTON, LAC)
Entity type:Individual
Prefix:
First Name:ARISTIDES
Middle Name:V
Last Name:RUIZ
Suffix:
Gender:M
Credentials:BS, MSTON, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 CLIFTON TER
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-7063
Mailing Address - Country:US
Mailing Address - Phone:201-736-6859
Mailing Address - Fax:
Practice Address - Street 1:311 W 43RD ST
Practice Address - Street 2:SUITE 405
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6413
Practice Address - Country:US
Practice Address - Phone:201-736-6859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003970-1171100000X
NJ25MZ00080200171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist