Individual
DONNA J REKKERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WX0601X
Otorhinolaryngology & Head-Neck Registered Nurse
Primary
F332617
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P019332617
BLUE CHOICE
NY
Enumeration date
07/03/2006
Last updated
05/15/2010
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