Individual
MICHAEL RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
790 PARK AVE, HUNTINGTON, NY 11743-4516
(631) 427-3700
Mailing address
83 ROSEMONT AVE, FARMINGVILLE, NY 11738-2047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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