Individual
ERICA JON B RUPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
7117 10TH AVE, BROOKLYN, NY 11228-1230
(718) 908-7885
Mailing address
7117 10TH AVE, BROOKLYN, NY 11228-1230
(718) 908-7885
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306638
NY
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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