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Individual
JOSE RUIZ
Active
Individual
JOSE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP,RN, LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11089101
NY
163W00000X
Registered Nurse
22-542744
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400966-01
NY
Other
Enumeration date
11/04/2010
Last updated
03/28/2021
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