Individual
RUTH RENEE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6160 56TH ST, MASPETH, NY 11378-3530
(347) 529-5191
Mailing address
61-60 56TH STREET, MASPETH, NY 11378
(347) 529-5191
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
266484081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBQQW86A
AETNA HEALTHCARE
NY
Enumeration date
03/02/2009
Last updated
03/02/2009
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