Dr Brendan Patrick Ruby, DDS is a
Student In An Organized Health Care Education/training Program based in Stony Brook, New York. Dr Brendan Patrick Ruby is licensed to practice in * (Not Available) (license number ) and his current practice location is
Stony Brook University Hospital, Stony Brook, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 689-8333.
NPI number for Dr Brendan Patrick Ruby is 1215463575 and his current mailing address is Stony Brook University Hospital, Stony Brook, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215463575.
Healthcare Provider's Profile
| Full Name | Dr Brendan Patrick Ruby |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | Stony Brook University Hospital, Stony Brook, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215463575
- Provider Enumeration Date: 05/05/2017
- Last Update Date: 01/29/2022
Medical Identifiers
Medical identifiers for Dr Brendan Patrick Ruby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215463575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 11877 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brendan Patrick Ruby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Brendan Patrick Ruby, DDS
Stony Brook University Hospital,
Stony Brook, NY 11794-0001
Ph: () - | Dr Brendan Patrick Ruby, DDS
Stony Brook University Hospital,
Stony Brook, NY 11794-0001
Ph: (631) 689-8333 |
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