Individual
MRS. BRENNA SHINE RUGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 DAKOTA DR STE 302, NEW HYDE PARK, NY 11042-1136
(516) 622-6145
Mailing address
2329 LANCASTER AVE, BALDWIN, NY 11510-3021
(516) 578-9429
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F31082401
NY
Other
Enumeration date
10/11/2024
Last updated
03/21/2026
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