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Individual
MR. JOHN MICHAEL RUSHFORTH JR.
Active
Individual
MR. JOHN MICHAEL RUSHFORTH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RN, NPP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
436150
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400518
NY
Other
Enumeration date
08/22/2006
Last updated
09/11/2025
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