Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Rosner Rutkovsky, MD PC

Organization Specialist · NPI 1083988299

Lisa Rosner Rutkovsky, MD PC is a Specialist in Flushing, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14223 Booth Memorial Ave
Flushing, NY 11355-5343
Phone: (718) 460-9776
Fax: (347) 368-6486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 151517 (NY)

Record details

NPI number1083988299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rutkovsky — Pediatric Cardiology · (718) 460-9776
NPI enumeratedMarch 6, 2012
Last updated in NPPESMarch 29, 2012
Mailing address14223 Booth Memorial Ave, Flushing, NY 11355-5343

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