All Medicaid billing entities listing RUCKER, WILDER (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $224.72 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | 96TH STREET JUNCTION BLVD MEDICAL PC | CORONA, NY | Family Medicine Physician | $224.72 |