Individual
JOSE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP,RN, LMSW
Contact information
Practice address
132 THOMPSON ST, APT-25, NEW YORK, NY 10012-5308
(212) 844-9259
Mailing address
132 THOMPSON ST, APT-25, NEW YORK, NY 10012-5308
(212) 844-9259
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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