Individual
DIANE RUTKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
28 N. COUNTRY RD., SUITE 201, MT. SINAI, NY 11766
(631) 403-4885
(631) 425-4670
Mailing address
45 SHERWOOD DRIVE, SHOREHAM, NY 11786
(631) 403-4885
(631) 425-4670
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001371-1
NY
237600000X
Audiologist-Hearing Aid Fitter
14000007431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M7571
EMPIRE
NY
Enumeration date
02/05/2007
Last updated
08/16/2011
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