Provider Demographics
NPI:1679450407
Name:VENTURA, RUBY J I
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:J
Last Name:VENTURA
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 CENTRAL AVE APT 114
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4611
Mailing Address - Country:US
Mailing Address - Phone:516-263-1222
Mailing Address - Fax:
Practice Address - Street 1:115 BROADHOLLOW RD STE 360
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4990
Practice Address - Country:US
Practice Address - Phone:631-385-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program