Individual
RUTH BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 558-6474
Mailing address
40 YOUNGS LN, BLOOMINGBURG, NY 12721-3143
(845) 558-6474
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
620785
NY
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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