Dr Kimberly Fazio-ruggiero, PSYD is a
Psychologist - Clinical based in Otisville, New York. Dr Kimberly Fazio-ruggiero is licensed to practice in New York (license number 025988) and her current practice location is
Fci Otisville, 2 Mile Drive, Otisville, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 386-6839.
NPI number for Dr Kimberly Fazio-ruggiero is 1497534689 and her current mailing address is 2094 Albany Post Rd Bldg 1, Montrose, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497534689.
Healthcare Provider's Profile
Full Name | Dr Kimberly Fazio-ruggiero |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | Fci Otisville, Otisville, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497534689
- Provider Enumeration Date: 09/26/2023
- Last Update Date: 10/02/2024
Medical Identifiers
Medical identifiers for Dr Kimberly Fazio-ruggiero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497534689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 025988 (New York) | 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 Kimberly Fazio-ruggiero 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 Kimberly Fazio-ruggiero, PSYD 2094 Albany Post Rd Bldg 1, Montrose, NY 10548-1454 Ph: (914) 737-4400 | Dr Kimberly Fazio-ruggiero, PSYD Fci Otisville, 2 Mile Drive, Otisville, NY 10963 Ph: (845) 386-6839 |
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